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Home
About
Overview
Facility
News
Staff
Career Opportunities
Apply Online
Testimonials
Emergency Vehicles
KME Fire Apparatus
Medix Ambulances
Life Line Ambulances
New & Used Inventory
Buses
Collins Bus Corporation
RIDE Mobility School Buses
Diamond Coach
Braun Ability
New England Wheels
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Apply Online
APPLICATION FOR EMPLOYMENT
THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT
but merely is intended to provide information necessary to evaluate suitability for employment. It is the policy of Gorman Enterprises to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, marital status, national origin, citizenship, disability, veteran status, or any other status protected under state or federal law. It is also the policy of Gorman Enterprises. to conduct pre-employment screening before a job offer is made. If a job offer is made, employment will be contingent upon the successful completion of background and drug testing. This application will remain active for 180 days.
PERSONAL INFORMATION
First Name
*
Last Name
*
Middle
Email
*
Street
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
City
*
Zip
*
Since
*
MM slash DD slash YYYY
Length of time you've been at current address.
Home Phone
*
Mobile Phone
*
EDUCATION
High School Attended
*
City, County & State
*
Did you earn a diploma?
*
Yes!
Grad School / College Name
City, State
Areas of Study
Degree / Certificate / Diploma
Trade, Business, Other School
City, State
Areas of Study
Degree / Certificate / Diploma
EMPLOYMENT INFORMATION
Position Applied For
*
Date You Can Start Work
*
MM slash DD slash YYYY
Desired Salary or Hourly Rate
*
Do You Prefer
*
Full-Time
Part-Time
Can You Work
*
Weekends
Evenings
Please answer all of the following questions. When necessary, note question number and use the additional comments space below provide explanations.
1.) Are you at least 18 years of age and legally eligible for work in the United States?
*
Yes
No
2.) Will you work overtime when necessary?
*
Yes
No
3.) Have you received a description of the job or been made aware of the essential functions of the job you are applying for?
*
Yes
No
4.) Do you understand the job requirements? (If no, please explain)
*
Yes
No
5.) Are you currently bound by a noncompetition or trade secret agreement? (If yes, please explain)
*
Yes
No
6.) Have you ever been discharged or asked to resign from a job? (If yes, please explain)
*
Yes
No
7.) Have you ever been convicted of or pled guilty to a felony or other crime? (If yes, please explain)
*
Yes
No
Additional Comments
If you were asked to explain any answer above, please do so here.
EMPLOYMENT HISTORY
MAY WE CONTACT YOUR PRESENT EMPLOYER?
*
Yes
No
Please list below your last three employers beginning with the most recent.
Most Recent Employer
*
Supervisor
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip
*
Phone
*
Position Held
*
Start Date
*
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Pay Rate Upon Leaving
*
Duties
*
Reason for Leaving
*
Next Most Recent Employer
Supervisor
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip
Phone
Position Held
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Pay Rate Upon Leaving
Duties
Reason for Leaving
Next Most Recent Employer
Supervisor
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip
Phone
Position Held
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Pay Rate Upon Leaving
Duties
Reason for Leaving
Next Most Recent Employer
Supervisor
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip
Phone
Position Held
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Pay Rate Upon Leaving
Duties
Reason for Leaving
JOB-RELATED SKILLS
If the position you are applying for requires driving a motor vehicle, Please answer the following questions:
1.) Do you have a valid driver's license?
Yes
No
2.) Have you been convicted of or pled guilty to any traffic-related offense within the past five years?
Yes
No
If yes, please explain.
3.) Have you had your driver’s license suspended or revoked, or had your driving privileges modified by a court of law?
Yes
No
If yes, please explain.
Please list all states from which you hold or have held a driver’s license. (CTRL + CLICK to select multiple states)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Please use this space to list any special skills you may have that relate to the position applied for:
Please list any professional licenses, designations, certifications, etc. that may relate to the position applied for. Include date granted, name of organization, and any other relevant information.
APPLICATION CERTIFICATION AGREEMENT
1. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on this application (or on any required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.
2. As an applicant I acknowledge I am subject to a background check as well as subject to a drug screening prior to and during employment. I authorize the investigation of all statements contained in this application and release from all liability any persons or employers supplying such information, and I also release Gorman Enterprises. from all liability that might result from making the investigation.
3. If I am offered and accept a position, I agree to conform to all existing and future Gorman Enterprises rules and regulations and I understand that Gorman Enterprises. reserves the right to change wages, hours and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF HIRED, MY EMPLOYMENT WILL BE AT-WILL, MEANING THAT EITHER PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON.
4. I understand that any employment offer is contingent upon my providing, within three (3) working days of employment, valid proof of identity and eligibility to work in order to comply with the Immigration Reform and Control Act of 1986.
5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
I agree to all of the above APPLICATION CERTIFICATION AGREEMENT
*
Yes
Answer 5+3 to submit
Comments
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