Gala North America Inc.

Position applied for:

Position Name:

Check all that apply:

Full Time Part Time Temporary

  (1^st) 6am-2pm
  (2^st) 2pm-10pm
  (3^st) 10pm-6am
  12 hr. shift AM/PM
  Office hours

SHIFT APPLYING FOR:
Check all that apply.

DATE OF APPLICATION

DATE AVAILABLE

PREFERRED Hourly/Salary

How were you referred to Gala North America Inc. for employment?

Internet

Other

Temp Service

Word of Mouth

Gala North America Inc. Employee

Contact Information

Last Name:

First Name:

Middle Initial:

E-mail:

Street Name:

Apt #:

City:

State:

Zip Code:

Phone #1:

Phone #2:

Education

Name of School

Major / Course(s) of Study

Years completed

Diploma/Degree received or expected

High School

College/University

Other (Business, Technical, etc.)

License or Certification

Please list your special skills. Include computer/software skills, machinery operation, training, and any other special skills that pertain to the position for which you are applying.

List professional, trade, business or civic activities and offices held that have a direct bearing upon your qualifications that relate to the position for which you are applying.

If you have ever been a member of the U.S. Military, list any skills or abilities you acquired while in service that directly relate to the position for which you are applying.

Professional references (Please include at least two current or former supervisors.)

Name

Phone Number

Relationship/years known

GALA NORTH AMERICA INC. IS AN EQUAL OPPORTUNITY EMPLOYER

Gala North America Inc. provides equal employment opportunities to all applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military.

APPLICANT'S STATEMENT

1) I hereby certify that all statements made in this application are true and correct to the best of my knowledge and belief. I understand and agree that any misrepresentation or omission of facts in my application may be justification for refusal to hire or termination of employment.

2) I further understand that an investigative report may be made as to my character and general reputation. I authorize all past employers, schools, persons and organizations having relevant information or knowledge to provide to Gala North America Inc. or its duly authorized representative for its use in deciding whether or not to offer me employment and specifically waive any further required written notification.

3) I understand that if offered a position with the Gala North America Inc., I will be required to submit to a background check and drug screen as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of this pre-employment background check and/or drug screen will result in withdrawal of any employment offer or termination of employment if already employed.

4) This application will remain on file for six months from the date it was submitted.

5) I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Gala North America Inc. is at-will. If an employment relationship is established, I retain the option, as does Gala North America Inc., of ending my employment at any time, with or without notice and with or without cause. This Applicant’s Statement is not a contract of employment.

By checking this box and signing my name below, I certify that I understand all the questions and statements in this application.

If you have any additional information you want to provide, please e-mail to hr.northamerica@gala-group.com .

Application for Employment

Please provide a valid email address...

Please, complete the required fields...