Gulf Coast Industrial | Field Job Application

Generally, Gulf Coast Industrial follows the four-step hiring process:

Complete Application. We check your qualifications, past employers, references & our job availability.
You submit to a drug and alcohol test. All tests are at our expense. The following steps are not completed until we receive negative drug test results.
For jobs that require a respirator, your Medical Evaluation Questionnaire is reviewed to determine whether you need a pulmonary test; if yes, you submit to a pulmonary test and a respirator fit test.
You then go to work and agree to abide by all laws and company policies.

Personal Information

Name*

First Middle Last

List any other name(s) you have used for references purposes (If no other names type "None")

Last Four Digits of Social Security Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address*

Primary Phone Number*

Secondary Phone Number*

Emergency Contact Name*

Emergency Contact Phone Number*

Employment

Do you have a valid Driver's License?*

Yes

Driver's License Number

State

Expiration Date

Are you authorized to work in the U.S. (Proof of citizenship and/or status is required.)?*

Yes

Are you at least 18 years of age?*

Yes

Position(s) you are applying for:

When are you available?

Is there any reason that will make it difficult for you to work a shift other than day shift, overtime or weekends?

Yes

If yes, please explain

Can you travel out of town to work?*

Yes

Are you currently employed?*

Yes

List all special skills, certifications, experience or qualifications you have.

Education History

High School

Grade Completed

None

College

Years Completed

Trade School / Other

Employment History

Hidden

Number of Employment History to Show (Ignore)

Employment History

Employer

Duration (From/To)

Contact

Phone Number

Position Held

Reason for Leaving

References

Hidden

Number of References to Show (Ignore)

References

(Please list 2 NON-RELATIVES whom you have known for more than 1 year.)

Name

Address

Phone

Relationship

Years Known

Equal Opportunity & Affirmative Action Survey

Equal employment and affirmative action regulations require us to gather statistical information on persons applying for employment. Please complete the survey below to assist us in complying with these regulations. In no way will your responses be used to determine your eligibility for the position for which you are applying. This information is voluntary and confidential and will be used for statistical purposes only and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

Full Name

Position Applying For

Gender

Male

Female

Decline to State

Race/Ethnicity

Please choose one which best identifies you (you can choose up to two races, if needed)

Other Race

* WE ARE AN EQUAL OPPORTUNITY EMPLOYER *

The Legal Stuff

Authorization

I authorize the companies, organizations, employers, schools, persons, or entities listed on this employment application to give any information regarding my employment, character, qualifications, certifications and licenses and verify all dates and facts. I hereby release said companies, organizations, employers, schools, persons or entities from all liability for any damage for issuing this information.

I authorize investigation of all statements contained in this application to include (but not limited to) verification of present and previous employment and personal references. I understand that misrepresentation or omission of facts can lead to refusal to hire or discharge at any point. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of wages, be terminated at any time without any previous notice. Upon acceptance of employment with this company, I understand and agree that I will be required to take a Physical Examination and a Pre-Employment Drug Test.

Notice

PLEASE NOTE THE FOLLOWING:

1. At any time, with or without notice, you may be terminated with or without cause. There is not a promise that you will be employed for a set period of time. We are an employment-at-will employer.

2. Your assignment to a job site prior to receiving drug and alcohol test results does not mean you are hired. We reserve the right to deviate from this general procedure.

3. We are an equal opportunity employer. Qualified applicants are considered for all positions without regard to race, color, religion, gender, sex, national origin, age, sexual preference, marital or veteran status, or the presence of a medical condition, handicap or any other protected class.

I have read, understand and accept the Authorization and Notice statements above.*

Yes

Phone

This field is for validation purposes and should be left unchanged.

Field Job Application

Personal Information

Employment

Education History

Employment History

References

Equal Opportunity & Affirmative Action Survey

*** WE ARE AN EQUAL OPPORTUNITY EMPLOYER ***

The Legal Stuff

Authorization

Notice

Locations

* WE ARE AN EQUAL OPPORTUNITY EMPLOYER *