G²S Application

Employment Application

G²S Corporation is an Equal Opportunity/Affirmative Action Employer. It is G²S Corporation’s policy to comply with all applicable state and Federal laws prohibiting discrimination in employment based on race, color, religion, national origin, gender, age, disability, veteran status, or any other protected category under state laws or regulations or local ordinances. This application is a legal document from which information will be verified. Be careful to answer all questions accurately and completely.

Position(s) Applied For:

Todays Date(Required)

How did you find out about this employment opportunity?

Referral (Name):

Other (please specify):

Your Name(Required)

First Middle Last Suffix (if applicable)

Email Address(Required)

Phone Number(Required)

Have you ever used another name for work, school or other purposes? If so, identify name(s) and dates used and circumstances.

Have you previously been employed with G²S Corporation?(Required)

Yes

No

Have you ever previously applied for employment with G²S Corporation?(Required)

Yes

No

Do you plan to work for another company/organization while employed with G²S Corporation?(Required)

Yes

No

If yes, please give name(s) and relationship(s):

Are you related to any other G²S Corporation employee?(Required)

Yes

No

If yes, please give name(s) and relationship(s):

Are you willing to accept employment that requires you to travel?(Required)

Yes

No

If yes

During the day only

Occasionally overnight

Frequently overnight

List the geographic locations in which you are willing to work.

Are you willing to provide your own transportation if necessary for your employment?(Required)

Yes

No

SECURITY CLEARANCE INFORMATION

If positions at G²S Corporation require a security clearance as a condition of employment, then please note that granting of a security clearance requires successful completion of a background investigation by an agency of the U.S. Government.

Have you ever been granted a Security Clearance?(Required)

Yes

No

If yes, indicate: Level of Clearance:

Date Granted

Agency Granting:

If the position you are applying for requires a Security Clearance of NAC, do you know of any reason why you would not be eligible for a Security Clearance or NAC?(Required)

Yes

No

If yes, please explain:

MILITARY SERVICE

Have you ever served in the United States Military?

Yes

No

Service Branch

Start Date:

Date Discharged:

Highest Rank Attained:

Rank at Discharge

Career Field Specialty

Special Training Received

INFORMATION FOR PERSONS WITH DISABILITIES

If you require any type of accommodations during the application, interviewing and selection process, please advise us immediately of the specific accommodation needed. G²S Corporation complies with the Americans with Disabilities Act of 1990 (ADA) and will make reasonable accommodations to enable otherwise qualified individuals to accept employment and to perform their jobs properly and safely. Persons with disabilities that prevent them from completing this application may request confidential assistance in filling out this application by contacting the Human Resource Department. G²S Corporation is an Equal Opportunity/Affirmative Action Employer. It is the G²S Corporation’s policy to comply with all applicable state and Federal laws prohibiting discrimination in employment based on race, color, religion, national origin, gender, age, disability, veteran status, or any other protected category under state or laws or regulations or local ordinances.

MOTOR VEHICLE RECORD

Please complete this section if you are applying for a position which includes driving a Company or personal vehicle for work purposes.

Drivers License #:

State

Expration Date:

Has your driver’s license ever been denied, suspended or revoked?(Required)

Yes

No

If yes, provide complete information on action(s), date(s), location(s) and current status:

List all violations (other than parking tickets) for which you have been convicted, pled guilty or no contest, or forfeited bond in the past 5 years:

Do you have automobile liability insurance?

Yes

No

If yes, expiration date:

Please carefully read Applicant’s Verification statement and sign the application below. APPLICANT VERIFICATION

APPLICANT VERIFICATION(Required)

I certify that all of the information provided on this employment application and all exhibits and resumés
submitted to G²S Corporation are true, correct and complete. I understand that false, misleading, incomplete
or omitted information on this application or exhibits and resumés will result in rejection of my application or
termination, if hired, regardless of the date of discovery. I authorize all persons and organizations, including
but not limited to my former and present employers and personal references, to provide G²S Corporation and
its agents with complete information concerning my character, employment record and suitability for
employment with G²S Corporation. I understand that this authorization does not include a consumer report
under the Federal Fair Credit Reporting Act. G²S Corporation conducts background checks under the Federal
Fair Credit Reporting Act and I understand that I will receive a separate notice and authorization for that
report.
I understand that this application is not an offer of employment or any employment contract with G²S
Corporation. I further understand that employment with G²S Corporation is “at will” and based on mutual
consent. Either G²S Corporation or I can terminate any employment relationship at any time, with or without
prior notice or cause. I understand that no employee of G²S Corporation, other than the CEO or COO, is
authorized to enter into any contract or create any employment relationship other than “at will.”
I understand that if hired by G²S Corporation, I will be required to complete a Federal I-9 form and
provide documentation verifying my right to live and work in the United States.
I understand that any offer of employment is contingent upon satisfactory results of applicable background
checks and drug test. I will, upon request, sign all necessary consent forms. G²S Corporation prohibits its
employees from the illegal use of drugs, being intoxicated on the job, and distributing, dispensing, possessing
or using controlled substances in the workplace. Depending on the assigned location, employees may be
subject to random drug testing.

I agree to the terms and conditions.

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Employment Application

EMPOYMENT ELIGIBILITY

LICENSURE & DEBARMENT

SECURITY CLEARANCE INFORMATION

MILITARY SERVICE

INFORMATION FOR PERSONS WITH DISABILITIES

MOTOR VEHICLE RECORD

NAVIGATION

COMPANY INFO