Position Applying For:
Permanent Address (if different):
Have you ever worked for Going Coastal Transportation before?
Do you currently have any friends or relatives employed by GCT?
If yes, who?
An applicant with a sealed record on file with the Commissioner of Probation may answer "no record" with respect to an inquiry herein relative to prior arrests, criminal court appearances, or convictions. An applicant may also answer "no record" with respect to any inquiry relative to prior arrest, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint being transferred to the superior court for criminal prosecution.
Please list any other names you have worked under:
Are you legally eligible to work in the US?
Have you ever been convicted of a felony?
If yes, please explain:
In the past five years, have you completed a period of incarceration for any misdemeanor?
If yes, please explain:
Please list high school, college/s, military, trade, business or other schools attended.
Name/Location of School:
Course of Study:
Type of Degree/Certificate
Please list your current/most recent employer's company name, address, and phone number below:
Reason for leaving:
In addition to your supervisor listed above, please provide us with contact information for an additional references.
Applicant's Certification and Agreement
I certify that all the information provided on this application and attached resume (if applicable) is true and that any false statements or omissions may result in dismissal or ineligibility for employment. I understand the following: this employment application and any other organizational documents are not employment contracts and that I may leave or be terminated from the organization at any time with or without any reason or notice. Any statements made to the contrary are disavowed and should not be relied upon by any prospective or existing employee. I understand that completing this application creates no rights, express or implied, to employment with the organization. All offers of employment are conditional upon the receipt of additional information, including but not limited to, references and a criminal background check deemed acceptable by the organization, as well as the successful completion of an introductory period which may be extended at the organization's discretion. I grant permission to and release the organization harmless from any and all liability resulting from any investigation of the information provided on this application, my employment history, consumer credit history, criminal convictions, motor vehicle history, and/or Excluded Individuals/Entities checks. I also agree to release all individuals who supply references from any and all liability, which may arise from furnishing that information to Going Coastal Transportation.
It is unlawful to administer a lie detector as a condition of employment or continued employment. An employer who violates this law shall be
subject to criminal penalties and civil liability.