Job Application Grunts Move Junk is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative. Please fill out all of the sections below:Applicant Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number*Email Address* Date of Application* MM slash DD slash YYYY Position applying for* How did you hear about this position?* What days are you available for work?* On what date can you start working if hired?* Do you have reliable transportation to/from work?* Yes No Do you have a valid Driver's License?* Yes No Have you ever applied to, or worked for Grunts Move Junk before?* Yes No If Yes, when?* Do you have any friends or relatives working for Grunts Move Junk?* Yes No If Yes, please state name & relationship:* Are you 18 years of age or older?* Yes No Are you a U.S. Citizen or approved to work in the United States?* Yes No What document(s) can you provide as proof of citizenship or legal status?*Have you ever been convicted of a criminal offense (felony or misdemeanor)?* Yes No If yes, please state the nature of the crime(s), when and where they were convicted and disposition of the case(s).*(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and surrounding circumstances and the relevance of the offense to the position applied for may, however, be considered.)Job Skills/QualificationsPlease list below, the skills and qualifications you possess for the position for which you are applying:(Note: Grunts Move Junk complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.) Education & TrainingHigh School Name Location (City/State) Year Graduated Degree Earned College/University Name Location (City/State) Year Graduated Degree Earned College/University Name Location (City/State) Year Graduated Degree Earned Vocational School/Specialized Training Name Location (City/State) Year Graduated Degree Earned Vocational School/Specialized Training Name Location (City/State) Year Graduated Degree Earned MilitaryAre you a Veteran or a member of the Armed Services?* Yes No What branch of the military did you enlist?* How many years did you/have you served in the military?* What military skills do you possess that would be an asset for this position?*Previous EmploymentEmployer Name* Job Title* Supervisor Name* Employer Address* Phone Number* Dates Employed* Reason for Leaving*Employer Name Job Title Supervisor Name Employer Address Phone Number Dates Employed Reason for LeavingEmployer Name Job Title Supervisor Name Employer Address Phone Number Dates Employed Reason for LeavingReferences Please provide three personal and professional references below:Name* First Last Phone*Relationship (ex. coworker)*Name* First Last Phone*Relationship (ex. coworker)*Name* First Last Phone*Relationship (ex. coworker)*AT-WILL EMPLOYMENT The relationship between you and Grunts Move Junk is referred to as “employment at will”. This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Grunts Move Junk. No representative of Grunts Move Junk has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will”, and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and the company's Chief Executive Officer. Applicant Signature:*Date* MM slash DD slash YYYY CAPTCHACommentsThis field is for validation purposes and should be left unchanged.