The Gardens at Gray Gables
Application for Employment

4105 Oak Ridge Rd, Summerfield, NC 27358 • 336-643-0005 • www.TheGardensatGrayGables.com

Gardens at Gray Gables Employment Application

Name

First Name

Last Name

Phone

(###)

###

####

Other

Date

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position(s) Applying For

Are you applying for:

Temporary Work?

Regular part-time work?

Select

Regular full-time work?

What days and hours are you available for work?

If applying for temporary work, when will you be available?

If hired, on what date can you start working?

YYYY

Can you work on weekends?

Can you work evenings?

Salary Desired

Have you ever applied to / worked for Gardens at Gray Gables before?

If yes, please explain (include date)

Do you have any friends, relatives, or acquaintances working for the Gardens at Gray Gables?

Do you have a North Carolina Driver's License?

If hired, would you be able to present evidence of your U.S. citizenship, or proof of your legal right to work in the United States?

If hired, are you willing to submit to and pass a controlled substance test?

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

If yes, please describe the crime - state nature of the crime(s), when and where convicted, and disposition of the case.

High School

School Name

Number of years completed

In what year will you/did you graduate?

College/University

School Name

Number of years completed

Did you graduate?

Degree/diploma earned

Do you speak, write, or understand any foreign languages?

If yes, describe which language(s) and how fluent of a speaker you consider yourself to be

Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?

If yes, please explain

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