Employment Application Step 1 of 6 16% Complete the application form below and click the submit button when finished. Please note that you will have to be able to pass a drug test to be hired. We will review your information and you will be contacted within 7 to 10 business days if you are chosen for further review. For more information please call 252-752-2111 Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Notification - Release of InformationPlease read before filling out this application. This form serves to notify you, the applicant, that a Consumer Report will be conducted during the course of consideration for employment with Grady-White Boats. Please complete ALL information requested. Grady-White Boats, Inc. does not discriminate in hiring or employment on the basis of race, color, sex, religion, genetic information, disability, national origin, citizenship, military status, or on the basis of age with respect to persons 18 years or older. No question on the application is intended to secure information to be used for such discrimination. Proof of identity and work authorization will be required upon employment in accordance with federal regulations. Grady-White Boats, Inc. intends to check and hold you responsible for the accuracy of the statements you make on this application. In connection with this request, I authorize all corporations, credit agencies, educational institutions, law enforcement agencies, city/state/county and federal courts, and military services to release information to Grady-White Inc., about employment, education, consumer credit history, driving record, criminal record, worker’s compensation and general public history. This form releases the aforesaid companies from any liability and responsibility for collecting the above information.Signature(Required)Date of Signature(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Personal DataAre you currently covered by a non-compete agreement with any former employer? Yes No If yes, please identify employer.Applicant Name(Required)Last, First, MiddleDate of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone(Required)Driver’s License Number(Required)State Issued(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Alias/Maiden Names UsedEmail(Required) Have you ever pled guilty or been convicted of a crime other than a minor traffic violation? Do not include sealed and expunged convictions, this includes misdemeanors and felonies. (Grady-White Boats does conduct criminal background checks.) Criminal Record(A “yes” answer to this question does not necessarily preclude consideration for employment.) Yes No If yes, please explain.Are you authorized to work for any employer in the US? Yes No Do you now or in the future will you require sponsorship by the company to retain employment in the US?(A “yes” answer to this question does not necessarily preclude consideration for employment) Yes No If yes, please explain.Education DataHighest Grade Completed(Required) First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seventh Grade Eighth Grade Ninth Grade Tenth Grade Eleventh Grade Twelfth Grade College or University 1 College or University 2 College or University 3 College or University 4 College or University 5 Graduate School 1 Graduate School 2 Graduate School 3 Graduate School 4 High SchoolName of SchoolLocationMajor Subject or Course of StudyDid You Graduate?CollegeName of SchoolLocationMajor Subject or Course of StudyDid You Graduate?Business or Trade SchoolName of SchoolLocationMajor Subject or Course of StudyDid You Graduate?Correspondence SchoolName of SchoolLocationMajor Subject or Course of StudyDid You Graduate?Other (specify)Name of SchoolLocationMajor Subject or Course of StudyDid You Graduate?Graduate SchoolName of SchoolLocationMajor Subject or Course of StudyDid You Graduate?DegreesList Degree(s) Obtained EmploymentPosition DesiredSalary DesiredPrior employment by Grady-White(Required) Yes No When?If yes, give the name(s) if different from the one given on this applicationWhen could you report for work?Referred by:(person’s name)Relatives/Friends employed by Grady-WhiteNameRelationshipNameRelationshipNameRelationshipNameRelationshipWork HistoryIf you have no work history, please enter NA in the required fields.From (mo/yr)(Required)Company(Required)Phone(Required)Starting Salary(Required)$ - perTo (mo/yr)(Required)Address(Required)Address, City, State, ZipFinal Salary(Required)$ - perSupervisors Name/Title(Required)Type of Business(Required)May we contact?(Required) Yes No Your Position Title(Required)Responsibilties/Duties(Required)Specific Reason for Leaving(Required)From (mo/yr)CompanyPhoneStarting Salary$ - perTo (mo/yr)AddressAddress, City, State, ZipFinal Salary$ - perSupervisors Name/TitleType of BusinessMay we contact? Yes No Your Position TitleResponsibilties/DutiesSpecific Reason for LeavingFrom (mo/yr)CompanyPhoneStarting Salary$ - perTo (mo/yr)AddressAddress, City, State, ZipFinal Salary$ - perSupervisors Name/TitleType of BusinessMay we contact? Yes No Your Position TitleResponsibilties/DutiesSpecific Reason for LeavingFrom (mo/yr)CompanyPhoneStarting Salary$ - perTo (mo/yr)AddressAddress, City, State, ZipFinal Salary$ - perSupervisors Name/TitleType of BusinessMay we contact? Yes No Your Position TitleResponsibilties/DutiesSpecific Reason for LeavingFrom (mo/yr)CompanyPhoneStarting Salary$ - perTo (mo/yr)AddressAddress, City, State, ZipFinal Salary$ - perSupervisors Name/TitleType of BusinessMay we contact? Yes No Your Position TitleResponsibilties/DutiesSpecific Reason for Leaving MillitaryBranch of ServiceDuties in the service, including schools and trainingSpecial SkillsWhat knowledge, special technical or computer skills, and/or other qualifications have you acquired from employment or other experience? Include any specific equipment you can operate. Hand & power tools, special carpentry, auto body/detail work, fiberglass, maintenance/repair that you can proficiently operate and/or any software applications you are proficient in. Please list any skills as applicable.Special SkillsList any first aid or emergency response training for which you are currently certified (give date of certification)Professional ReferencesName(Required)Occupation(Required)Years known(Required)Phone(Required)Address Street Address City State / Province / Region ZIP / Postal Code NameOccupationYears knownPhoneAddress Street Address City State / Province / Region ZIP / Postal Code NameOccupationYears knownPhoneAddress Street Address City State / Province / Region ZIP / Postal Code AffidavitI authorize, without liability, investigation of all statements in this application. I authorize all schools which I attended and all previous employers to furnish to Grady-White Boats, Inc. my record, reason for leaving and all information they may have concerning me, and hereby release them and Grady-White Boats, Inc. from all liability for any damage whatsoever arising therefrom. I authorize my neighbors, friends or others with whom I am acquainted or who are acquainted with me to furnish Grady-White Boats, Inc. with information used in connection with the evaluation of my qualifications as a prospective employee. I release such persons and organizations from any legal liability in making such statements. I understand that in the event of my employment by Grady-White Boats, Inc. it shall be sufficient cause for dismissal if any of the information I have given in this application is false or if I have failed to give any information herein requested. I understand that proof of identity and work authorization will be required upon employment in accordance with federal regulations. In the event of my employment by Grady-White Boats, Inc., I agree to abide by all present and subsequently issued rules of the Company. If hired, in consideration of my employment, I agree to comply with the policies, standards, and business ethics of Grady-White Boats, Inc.). I understand that my employment is at will and may be terminated by me or the company at any time without additional consideration or notice. I understand that no representative of Grady-White Boats, Inc. (except an Executive Officer) has the authority to commit to any definite term of employment or alter the at-will employment agreement, and any such agreement must be in writing. It is the policy of Grady-White Boats, Inc. to provide a drug-free workplace. Please be advised that all offers of employment are contingent upon satisfactory results of a drug screening test. All applicants who are considered for employment will be requested to sign a consent release form authorizing the company to have its designated clinic, hospital or laboratory perform the drug screening test. Applicants who refuse to sign the consent form will not be considered for employment. Appropriate considerations will be made for applicants providing proof of taking prescription drugs under the direction of a physician. I hereby certify that the entries on this application and the statements made by me are true and correct, and I acknowledge that any falsification of this form could result in immediate dismissal. I affirm that I have a genuine intent and no other purposes in applying for a job with this company. By submitting this application and affixing my signature hereto, I agree to submit to a Polygraph (lie detector) examination during investigations of theft or other crimes if the company declares in writing that it has reasonable suspicion that workers could be implicated. Furthermore, I have read the above drug screening notice and understand that all offers of employment are contingent upon satisfactory results of this test.Signature(Required)Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Comments Please answer the questions below:Name(Required)Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone(Required)Best way to contact youAre you able to pass a pre-employment drug screen today?(Required) Yes No Have you applied or worked with Grady-White Boats before?(Required) Yes No Are you currently employed?(Required) Yes No If yes, where?Untitled(Required) Full-time Part-time What type of work have you done in the past?(Required)Be specific.What type of work are you looking for today?(Required)What do you enjoy?(Required)Have you held a job performing the type of work you are requesting?(Required) Yes No What tools do you have experience using?(Required)Can you read a tape measure?(Required) Yes No Have you ever worked around fiberglass before?(Required) Yes No Will you need to miss work for any reason in the next 6 months?(Required) Yes No If yes, when?Have you worked with one company for more than one year?(Required) Yes No If yes, where?Are you currently in school?(Required) Yes No Do you plan to attend school?(Required) Yes No If yes, when?What shift are you looking for?(Required) First Shift Second Shift Third Shift Have you EVER been terminated from a position?(Required) Yes No If yes, where?Highest Level of Education(Required) No High School Diploma High School Diploma/GED Associate Degree Undergraduate Degree Graduate Degree Do you have a valid driver’s license?(Required) Yes No Are you able to meet the essential functions of the job to include lift, push and pull up to 50 lbs with or without reasonable accommodations?(Required) Yes No Do you have your own transportation to and from work?(Required) Yes No Are you from this area?(Required) Yes No If not, from where did you move?What brings you here?Type of work wanted(Required) Full-time Part-time Temporary What hours are you available to work?(Required)What is the minimum amount of pay you are able to take?(Required)What are some of your hobbies?(Required)Did someone specific refer you?(Required) Yes No If yes, who?If no, how did you hear about Grady-White?PhoneThis field is for validation purposes and should be left unchanged.
