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G.V.W. Tire Inc. Employment Application :

Instructions: If you need help filling out this application form or for any phase of the employment process, please notify the personnel department at cmgyuriak@gvwtire.com and every effort will be made to accommodate your needs in a reasonable amount of time.
  1. Please read "APPLICATION NOTE" below.
  2. Complete the entire form.
  3. If more space is needed to complete any question, use comments section at the end of the form.
  4. Incomplete forms will not be processed.
  5. Some packets may include an AFFIRMATIVE ACTION QUESTIONNAIRE. This information is being gathered for affirmative action under Section 503 of the Rehabilition Act of 1973. The information requested is voluntary and will be kept confidential. An application will not be subject to any adverse treatment for refusing to complete the questionnaire.

Application Note: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview an on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin or the presence of disabilities. A felony conviction will not necessarily bar an application from employment. Affirmative action hiring may be requested by qualified applicants. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you are required to submit a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.
GENERAL INFO
Name:
Social Security Number:
Home Phone:
Work Phone:
Current Address:  
City:  
State:  
Zip:  
Previous Address:  
City:  
State:  
Zip:  
AVAILABILITY
For which position are you applying?  
What date can you start:  
What category would you prefer?  

Full-time    Part-time
Temporary Labor Pool
For which schedule are you available?   Weekdays Weekends Evenings
Nights Overtime Shift Other
EDUCATION
Highest grade completed?
  
If your school records are under a different name
than above, please enter that name:
  Name City / State Graduate? Degree?
High School:
College:
Other:
SECURITY
List states and counties of residence for the past seven years:
Have you used any names or Social Security Numbers other than those on this page?   Yes No
Have you been convicted of, or served time for a felony in the past seven years? If so, please descrive below:   Yes No
Incident City / State Charge
1)
2)
JOB-RELATED SKILLS
NOTE: DO NOT FILL OUT ANY PART OF THIS SECTION YOU BELIEVE TO BE NON JOB-RELATED
List languages in which you are fluent:
If the job requires, do you have the appropriate drivers license?   Yes No
DL# Type: State Issued:
Have you had any moving violations?   Yes No
Please list any other skills, licenses or certificates that may be job-related or that you feel would be of value to this job or company:
Have you been given a job description or had the requirements of the job explained to you?   Yes No
Do you understand these requirements?   Yes No
Can you perform the requirements of this job with or without reasonable accommodations?   Yes No
PREVIOUS EMPLOYERS
MOST RECENT EMPLOYER
Are you currently working for this employer?   Yes No
If Yes, may we contact them?   Yes No
Company Name:  
City:   State:
Phone:   Fax:
Dates Employed:   (to)
Job Title:  
Supervisors Name:  
Duties:  
Salary:  
Reason for Leaving:  
SECOND MOST RECENT EMPLOYER
Are you currently working for this employer?   Yes No
If Yes, may we contact them?   Yes No
Company Name:  
City:   State:
Phone:   Fax:
Dates Employed:   (to)
Job Title:  
Supervisors Name:  
Duties:  
Salary:  
Reason for Leaving:  
THIRD MOST RECENT EMPLOYER
Are you currently working for this employer?   Yes No
If Yes, may we contact them?   Yes No
Company Name:  
City:   State:
Phone:   Fax:
Dates Employed:   (to)
Job Title:  
Supervisors Name:  
Duties:  
Salary:  
Reason for Leaving:  
 
REFERENCES
Include individuals familiar with your work ability. Do not include relatives.
Name Address / Phone Years Known Relationship
1)
2)
COMMENTS
email:
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