Job Application

Position Applying For

Date Applied

Applicant Last Name

Applicant First Name

Applicant Middle Initial

Email Address

Present Mailing/Street Address

City

County

State

Zip Code

Are you 18 years of age or older? Are you 18 years of age or older? Yes No

Have you applied to work at Granite-Tops, LLC before? Have you applied to work at Granite-Tops, LLC before? Yes No

If yes, when (date)?

Reason for leaving

Position

Location

Are you legally authorized to work in the United Stated? Are you legally authorized to work in the United Stated? Yes No

Available to work weekends? Available to work weekends? Yes No

Overtime work? Overtime work? Yes No

When can you start (date)?

Gender GenderDecline to answerMaleFemale

Ethnicity EthnicityDecline to answerHispanic/LatinoAmerican Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteTwo or more races

Veteran Status Veteran StatusDecline to answerNot a VeteranActive Duty Wartime VeteranArmed Forces Service VeteranDisabled VeteranRecently Separated Veteran

Disability DisabilityDecline to answerNo, I don't have a disabilityYes, I have a disability (or previously had a disability)

How did you hear about this position? How did you hear about this position?Decline to answerEmployee/friendInternal postingWalk-inTemp AgencyCraigslistIndeedZipRecruiterCollege/UniversityJob FairOther