GASTI, Inc. Application

Application for Employment and Pre-Employment Questionnaire

GASTI, Inc. is an equal opportunity employer.

Please provide a copy of a valid picture ID and SSN.

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Name

Present Address

Telephone #

Social Security #

Position Applied for:

Salary Desired:

Days/Hours Available to work:

How many hours can you work weekly?

Can you work nights?

Can you work travel?

Date you can start:

Education (School Level/Name of School/Location/# of Years Completed/Major & Degree):

Special Skills or Training:

Are you legally allowed to work in the U S ?

Have you ever been convicted of a crime?

If yes, explain the number of convictions, nature of the offenses leading to the convictions, how recently such offenses were committed, sentences imposed, and types of rehabilitation:

Have you ever been in the armed forces?

If so, state your Rank, Entry Date, and Discharge Date:

Please list your work experience beginning with your most recent job held Name of Employer:

Address, City, State, Zip Code:

Phone Number:

Name of Last Supervisor:

Employment Dates (Start-End):

Pay or Salary (Mark both starting and final pay):

Job Title:

Reason(s) for Leaving:

Duties and skills used or learned while employed with the company:

Are you employed now?

May we contact your present/past employers?

Name of Previous Employer #1:

Address, City, State, Zip Code of Previous Employer #1:

Phone Number of Previous Employer #1:

Name of Last Supervisor at Previous Employer #1:

Reasons for Leaving:

Name Of Previous Employer #2:

Address, City, State, Zip Code Of Previous Employer #2:

Phone Number Of Previous Employer #2:

Name Of Last Supervisor At Previous Employer #2:

Do you have a driver's license

What is your means of Transportation to work?

Driver's License #:

Expiration Date:

State of Issue:

Have you had any accident in the past 3 years?

If yes, how many?

Have you had any moving violations during the past three years?

Reference #1 (Please include Name, Position, Company, Address, and Phone #):

Reference #2 (Please include Name, Position, Company, Address, and Phone #):

Please summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying:

Attach Resume

GASTI, INC.

Your source for Operator Qualification training , evaluation, and more!

GASTI, Inc. Application

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