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2020-11-17T22:21:16-06:00
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-
Step
1
of 3
Application For Employment
Personal Information
Name
*
First
Middle
Last
Email
*
Home Phone (Include Area Code)
*
Alternate Phone (Include Area Code)
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How did you find out about this position?
*
Current Employee
Career Fair
Newspaper Ad
Radio/TV AD
Search Engine
Facebook
Craigslist
Indeed
Other
Which Employee Referred You?
*
If other
*
Desired Position
*
Full-Time
Part-Time
Desired Pay
Desired Work Region
ARKLATX
SOUTH TEXAS
WEST TEXAS
NORTHEAST
Date Available
Have you ever been employed by Centaur Employment Company?
*
Yes
No
Have you previously applied with Centaur Employment Company?
*
Yes
No
Education
Name Of School
Number of Years Completed
Degree Completed
Please Choose
Yes
No
Major/ Degree
Name Of School
Number of Years Completed
Degree Completed
Please Choose
Yes
No
Major/ Degree
Professional References
Name
*
First
Last
Title or Position
*
Phone
*
Name
*
First
Last
Title or Position
*
Phone
*
Employment History
Employer
*
From (month/year)
*
To (month/year)
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Base Pay
*
Position/Title
*
Number of Hours Worked Per Week
*
Reason for Leaving
*
Supervisor Name
*
First
Last
Phone
*
May we Contact this Employer
*
Yes
No
Employer # 2
Employer
*
From (month/year)
*
To (month/year)
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Base Pay
*
Position/Title
*
Number of Hours Worked Per Week
*
Reason for Leaving
*
Supervisor Name
*
First
Last
Phone
*
May we Contact this Employer
*
Yes
No
Would you like to add another Employer?
Please Choose
Yes
No
Employer # 3
Employer
*
From (month/year)
*
To (month/year)
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Base Pay
*
Position/Title
*
Number of Hours Worked Per Week
*
Supervisor Name
*
First
Last
Phone
*
Reason for Leaving
*
May we Contact this Employer
*
Yes
No
Would you like to add another Employer?
Please Choose
Yes
No
Employer # 4
Employer
*
From (month/year)
*
To (month/year)
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Base Pay
*
Position/Title
*
Number of Hours Worked Per Week
*
Supervisor Name
*
First
Last
Phone
*
Reason for Leaving
*
May we Contact this Employer
*
Yes
No
Next
ACKNOWLEDGEMENTS AND CONSENTS
Please be advised that any false or misleading information provided on this employment application or during the preemployment process may result in retraction of the employment offer or termination of employment. Please read and initial each statement.
Centaur Employment Company provides Equal Employment Opportunity (EEO) to all employees and applicants for employment without regard to race, religion, color, sex, age, national origin, disability status, pregnancy, marital status, sexual orientation, citizenship status, veteran/military status or any other legally protected category and/or characteristic.
*
In the event I become employed by Centaur Employment Company I acknowledge and understand that my employment is "at-will". I further understand that either I or Centaur may terminate my employment for any reason, with or without cause, and with or without notice.
*
I acknowledge and understand that Centaur Employment Company will conduct a criminal background check on all job applicants. A criminal background is conducted as a means of promoting a safe work environment for current and future employees. A conviction does not automatically disqualify an applicant from consideration for employment. The Company will consider the nature of the crime and its relationship to the position, the time since the conviction, the number of convictions and whether hiring would pose an unreasonable risk to the overall operations of the Company, based on a preestablished Company policy.
*
I acknowledge and agree that any false or misleading information provided or omitted on the employment application or during the pre-employment process may result in retraction of the employment offer or immediate termination of employment.
*
I understand that I will be required to produce proof of my identity and legal right to work in the United States upon selection and acceptance for employment.
*
I understand and agree that any and/or all of the information included in this application (or any attached pages or resumes) is subject to verification. I authorize previous employers, listed references, agencies , and credentialing bodies to release information to Centaur Employment Company related to my employment, credentials, and abilities. I further agree to hold harmless any and all individuals, companies, agencies, and educational facilities who provide any factual information and/or documentation, as related to this application for employment.
*
CONSENT FOR ALCOHOL/DRUG SCREENING
1 hereby give my consent to Centaur Employment Company and/or its agents/representatives to collect hair, urine, saliva, blood, and/or breath samples from me for the purpose of testing to determine the presence of alcohol, drugs, and/or any controlled substances as defined by Centaur’s Anti-Substance Abuse Policy, guidelines, and/or other practices/processes related to the elimination of substance abuse in the workplace.
*
I further give my consent for the release of any and all test results to those entities and/or persons deemed by Centaur to have a need to access such results. I further acknowledge and agree that such results may be disclosed to authorize members of Centaur management and/or customer entities as required and such results will be considered in determining my employment or continued employment with Centaur.
*
I acknowledge and understand that my refusal to submit to a drug and/or alcohol test, falsific ation of a test, tampering with a sample or test, or testing positive on a test can and will result in retraction of the employment offer or immediate termination of employment.
*
I acknowledge that the information I have furnished is true and correct to the best of my knowledge and belief, and understand that falsification of this information can and will result in retraction of the employment offer or termination of employment . My signature below confirms my understanding and acknowledgement of, and agreement to, the terms and conditions outlined in this employment application.
*
Clear Signature
Date
Next
AUTHORIZATION TO OBTAIN CONSUMER REPORTS
I hereby authorize Centaur Employment Company (the "Company") to obtain consumer reports (including motor vehicle reports, criminal records, education, prior employer verification, workers compensation claims, etc.) regarding me in connection with my application for employment or, if hired, my continuing employment. I understand, agree, and take notice that the Company may obtain and use consumer reports to evaluate my application for employment and whether to continue my employment with the Company. I further recognize that the reports I authorize the Company to obtain, may contain inaccurate information that could form the basis for a decision by the Company not to employ me, and I hereby release the Company, its directors, officers, agents, employees, and insurers, as well as the provider of the report(s), from any and all claims arising out of or relating to the decision not to employ me and/or any inaccuracies contained in such report(s).
Print Legal Name:
*
Consumer Report Checkbox
Male
Female
Date of Birth
*
Social Security Number
*
Drivers License Number
*
State Issued
*
The law requires that the Company provide a copy of the background report obtained during the preemployment process to individuals, upon request, that currently live in the following states, California , Minnesota, or Oklahoma. If you would like a copy, please check this box. | | In the event that you live in a state not previously listed, the Company is not required to and will not provide a copy to you. A copy will be mailed to the address listed on the Employment Application. In the event you wish to have this report sent via email, please provide an email address.
Email Address
*
Signature
Clear Signature
Date
*
NOTE: This information is used for the sole purpose of obtaining consumer report(s) as defined by the Fair Credit Reporting Act (FCRA). Centaur provides equal employment opportunities to all employees and applicants without regard to race, religion, color, sex, age, national origin, disability status, pregnancy, marital status, sexual orientation, citizenship status, veteran/mili tary status, or any other legally protected category and/or characteristic.
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Additional Information
Message
Submit
GRYPHON ESP HQ
1210 Antoine Dr. | Houston, TX 77055
OTHER LOCATIONS
Houston:
1210 Antoine Dr. Houston, TX 77055
STX:
3830 US-281 Three Rivers, TX 78071
WTX:
3800 N FM 1788 Midland, TX 79707
ETX:
18557 HWY 69 N Lindale, TX 75771
OH:
198 Penn St. Brilliant, OH 43913
Kenedy Office:
146 CR 329 Kenedy, TX 78119
MidCon:
3863 NW Welch RD Lawton, OK 73507
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