In compliance with Federal and State equal opportunity laws, qualified applicants are considered for
all positions without regard to race, color, religion, sex, national origin, age and disability.
Bold/Italicized fields are required!
Select Warehouse Location West Branch St. Ignace Marquette Alpena Saginaw Date of Birth January February March April May June July August September October November December
Last Name First Name Middle Initial
Present Address
Present City Present State Michigan Present Zip Code
Previous Address
Previous City Previous State Michigan Previous Zip Code
Home Phone: ()- Cellular Phone: ()-
Email Address
Are you over the age of 18? No Yes
Are you a U.S. Citizen a Lawful Permanent Resident Authorized to work in the United States
Have you ever been convicted of a crime (misdemeanor and/or felony. If Yes, please explain)? No Yes
Have you ever had your drivers license denied, revoked or suspended (If Yes, please explain)? No Yes
Position you are applying for Warehouse Sales/Merchandiser Office Any Type of employment Full Time Part Time Seasonal/Temporary Any
When are you available to start work?
Expected rate of pay Per Year Per Week Per Hour
Are there any times you are unavailable to work?
Have you ever worked for a division of Griffin Beverage before? No Yes If Yes, when and where?
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Education & Military Status
Highest grade completed 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade College - 1 Year College - 2 Years College - 3 Years College - 4 Years College - 4 or more years Highest Degree Obtained No High School Diploma High School Diploma Some College Associates Degree Bachelors Degree Masters Degree Ph D. Other
(Leave blank if none of the following military information applies)
U.S. Military Branch Rank Presently in Guard/Reserves? No Yes
Were you Discharged Retired Currently Listed Other
Previous Work History
Have you ever been requested to resign from a former employer? No Yes If Yes, please explain:
Prior Work Record
Last or current employer
Address Phone
Salary
Supervisor Job Title
Job Duties
Hire Date Ending Date Reason for leaving
2nd Last Employer
3rd Last Employer
References
Did anyone refer you, if so, who?
Work references (DO NOT LIST FORMER EMPLOYERS!)
Name Address
Phone Relationship to you
I certify that this application for employment was completed by me and that the information given by me in this application is true and complete to the best of my knowledge and I agree that if the information given is found to be false in any way it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in the application to verify my statements and I authorize the past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.
I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between Griffin Beverage and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Griffin Beverage unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that Griffin Beverage retains the same right. I understand that, if employed, policies and procedures which are issued are not conditions of employment and that Griffin Beverage may revise policies and procedures, in whole or part, at any time.
I understand that prior to being offered employment with Griffin Beverage I may be requested to take a pre-employment examination in which I may be required to submit to urinalysis, blood tests or other screening as part of the pre-employment process for the purpose of detecting drug and alcohol use. Applicants tested will be required to sign a consent/release form prior to testing. Any applicant refusing to sign the consent form or take a pre-employment physical will be disqualified from further consideration.
This pre-employment physical will be performed by a licensed, certified testing service and all applicants tested will be required to give a sample of the body fluid tested in the presence of an employee of the testing service. A positive test may result in denial of employment. In the event I have a disability in which will affect my ability to take the test I will so inform Griffin Beverage prior to the administration of the test so that a reasonable accommodation can be made. Requested accommodations may include accessible testing sites, modified testing conditions and accessible testing formats. Griffin Beverage reserves the right to require medical documentation concerning the need for the accommodation.”
Do you agree to the above terms and conditions, if so, please type YES:
