Gorham's | Employment Form

Gorham's Employment Form

Personal Information

Position applied for

Type of employment desired

Name

Title

Date of birth

Nationality

If Non-Bermudian, State Nationality

Address

City

Have you ever been previously employed by Gorham's?

Date

Position

Do you have transportation?

Licenses held

If offered a position, can you provide documentation establishing your right to work in Bermuda?

Home phone

Work phone

Cell phone

CONVICTIONS: Conviction of a crime is not necessarily a bar to employment. Each case is considered separately based on job requirements. Do not include: (a) any arrest or detention that did not result in conviction; (b) any conviction for which the record has been judicially ordered sealed, expunged, or statutorily eradicated; (c) any misdemeanor conviction for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed or (d) any arrest for which a pretrial or post-trial diversion program has been successfully completed.

Have you ever been convicted of a crime other than a minor traffic violation?

Criminal Record: Please specify (exclude traffic violations)

May we take a reference?

If yes, please initial in the space provided

Have you been arrested for and charged with a crime for which you are currently out on bail or on your own recognizance pending trial?

Complete this Portion if you answered (YES) to either of the above questions.

Date

Court

City

Charge of offense

Were you ever terminated or forced to resign a position? This answer will not necessarily result in disqualification.

Education and Training

Name of high school

Location

High school diploma or equivalent?

If yes, date obtained

College and/or university

Licenses/certifications

Experience

Employer

Address

Employed from

Employed to

Hours weekly

Salary

Title

Reasons for leaving

Supervisor's name

Number of employees supervised

Duties

Employer's telephone number

May we contact present employers?

Previous employers may be contacted for references. Do you object?

If object briefly explain

Can you work Saturdays?

General health (in relation to job applied for)

External Interests

Credit standing

References: List three (include addresses and contact numbers)

Reference 1

Reference 2

Reference 3

I ACCEPT THAT ALL STATEMENTS ON THIS FORM ARE SUBJECT TO VERIFICATION THROUGH REFERENCE CHECKING. PRESENT EMPLOYERS WILL ONLY BE CONTACTED WITH MY EXPRESS PERMISSION. I UNDERSTAND THAT FALSIFICATION OF ANY INFORMATION COULD PREJUDICE MY APPLICATION FOR EMPLOYMENT, AND SUBSEQUENTLY BE GROUNDS FOR DISMISSAL.

(If application is submitted online or by Fax, we will require an original signature at the time of exam.)

Applicant's signature

Date

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