Application for Employment
The GEL Group, Inc.
P.O. Box 30712
Charleston, SC 29417

GEL IS A DRUG-FREE AND SMOKE-FREE WORKPLACE. I understand that as a condition of employment, I will be required to undergo and successfully pass a drug screening. I hereby consent to having the results of such drug screening be disclosed to GEL. Unless otherwise defined by applicable law, any employment relationship with GEL is of an "at will" nature, which means that I may resign at any time and GEL may discharge me at any time with or without cause. This "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive at GEL.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of GEL. We are an equal opportunity employer, and we do not and will not discriminate on the basis of a person's race, color, religion, disability, marital status, familial status, veteran status, age, sex, sexual orientation, gender identity or national origin, or any other legally protected status. Information provided on this application will not be used for any discriminatory purpose.

Applicant's Statement
I herby certify that the answers to be given herein will be true and correct to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
(This online form will automatically stamp the date, time and the user's IP Address for verification upon submittal.)
Last Name
 First Name
 Middle Name
Address

Street
City
State
Zip Code
Telephone Number
Home:		  
Work/Cell:		 Social Security Number (Optional)

 
Email Address:

Position Applied For:
 Date of Application:
Are You Available To Work:
Full Time Part Time Shift Work Weekends Temporary
How did you hear about this position?
Advertisement Employment Agency Friend Walk-In
Relative School/College Website Other
Do you have any family or friends that work at GEL?Yes  No
Name(s):

EDUCATION

  Name and
Address of School		 Course of
Study		 Years
Completed		 Diploma
Degree
High
School
Undergraduate
College
Graduate
Professional
Other
Specify

Indicate any foreign languages you can speak, read and/or write:
Speak fluent   good   fair  
Read fluent   good   fair  
Write fluent   good   fair  

List professional, trade, business or civic activities and offices held:
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status

Describe any job-related training received in the Military Service or Volunteer Activities:

Specialized Skills:     (Check Skills/Equipment Operated)
Typing (words per minute:)
Dictation (words per minute:)
CRT
Fax
Calculator
Computer (Hardware   Software)
Other
Types of Production/Mobile Machinery
and years of experience:

EMPLOYMENT EXPERIENCE

Employer
 Dates Employed
From           To		 Work Performed
Address
Telephone Number
 Salary
Starting           Final
Job Title
 Supervisor
Reason for Leaving

Employer
 Dates Employed
From           To		 Work Performed
Address
Telephone Number
 Salary
Starting           Final
Job Title
 Supervisor
Reason for Leaving

Employer
 Dates Employed
From           To		 Work Performed
Address
Telephone Number
 Salary
Starting           Final
Job Title
 Supervisor
Reason for Leaving

Employer
 Dates Employed
From           To		 Work Performed
Address
Telephone Number
 Salary
Starting           Final
Job Title
 Supervisor
Reason for Leaving

ADDITIONAL INFORMATION

State any additional information you feel may be helpful to us in considering your applicaiton

REFERENCES REQUIRED

(2 BUSINESS - 1 PERSONAL)
Name Address Years
Known		 Telephone Number
Business:
Business:
Personal:


Wage or Salary Required:
 

A safe work environment is a prime value of The GEL Group, Inc. The following background and motor vehicle record information is required as our commitment to this value.

CRIMINAL BACKGROUND

Have you ever pleaded guilty to, "no contest" to, or been convicted of a felony?    Yes      No
If "Yes", please state citation, date, and place where offense occurred. A "Yes" does not automatically disqualify you from consideration.

DRIVING INFORMATION:

Do you have a current driver's license?    Yes      No
Class:
State:
License Number:(optional)
Expiration Date:(optional)
Has your license been suspended or revoked?    Yes      No
If yes, please explain circumstances:
Please list all moving traffic violations in the past five (5) years:
 
   
Offense Date Location     Offense Date Location
 
   
Offense Date Location     Offense Date Location

 

Have you ever filed an application with us before?  Yes  No                 
If you are under 18 years of age, can you furnish a work permit?  Yes  No                 
If yes, give date
Have you ever been employed with us before?  Yes  No                 
If yes, give date
Are you currently employed?  Yes  No                 
May we contact your current employer?  Yes  No                 
Are you currently on lay-off status and subject to recall?  Yes  No                 
On what date would you be available for work?
Will you relocate if the job requires it?  Yes  No                 
Can you travel if the job requires it?  Yes  No                 
Are you able to work overtime if required?  Yes  No                 

Applicant Invitation to Self-Identify

This company is subject to Executive Order 11246, as amended, which requires Federal contractors to ensure that applicants are employed and that employees are treated during employment without regard to their race, color, religion, sex, or national origin. We are therefore requesting information about the race and gender of our applicants in order to complywith government reporting requirements and in order to ensure equal employment opportunity.

Applicant Name: Date:
Position Applied for:

 MALE       FEMALE       I CHOOSE NOT TO SELF-IDENTIFY

 WHITE (not Hispanic or Latino)       BLACK or AFRICAN AMERICAN (not Hispanic or Latino)

 HISPANIC OR LATINO       ASIAN (not Hispanic or Latino)

 AMERICAN INDIAN/ALASKA NATIVE (not Hispanic or Latino)

 NATIVE HAWAIIAN or PACIFIC ISLANDER (not Hispanic or Latino)

 TWO or MORE RACES (not Hispanic or Latino)

 I CHOOSE NOT TO SELF-IDENTIFY

This company is also subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212(VEVRAA), which requires Government contractors totake affirmative action to employ and advance in employment veterans in the followingclassifications:

  • A "disabled veteran" is one of the following:
    • a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
    • a person who was discharged or released from activeduty because of a service-connected disability.
  • A "recently separated veteran" means any veteran during the three-year period beginning on the date ofsuch veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
  • An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
  • An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

If you believe you belong to any of the categories of protected veterans listed above, please indicateby checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

 I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED ABOVE

 I AM NOT A PROTECTED VETERAN

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