CANDIDATE ASSESSMENT FORM
Date
*
mm/dd/yyyy
Name (Last, First, Middle)
*
Position Applying For
*
Street Address
*
Social Security
Cell Phone#
*
Phone
Are you eligible to work in the United States?
*
Yes
No
Have you ever been employed by GDB?
*
Yes
No
If Yes, what was your reason for leaving, and what were your start and end dates of employment?
*
Do you have valid driver's license?
*
Yes
No
Are you 18 years of age or older?
What is your Highest Level of Education?
*
High School
GED
Vocational Education/Technical Training
Bachelor's Degree
Master's Degree
Please select the skills that align with your professional profile
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Basic Computer Skills
Basic Math Skills
Basic Maintenance Skills
Bilingual (English & Spanish)
Clerical Skills
Cherry Picker/Order Picker
Forklift Operations
Operating Hand Tools
Problem-Solving Skills
Stand Up/Reach Truck Lift
Strength and Lifting Capacity
Are you available to work 40 hours a week?
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Yes
No
Are you open to working Overtime?
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Yes
No
Are you open to work on weekends?
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Yes
No
Please indicate your primary mode of transportation to our warehouse location
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Bike
Carpool
Personal Vehicle
Public Transportation
Ride-sharing service (e.g., Uber, Lyft)
Walking
How did you learn about this job?
*
Digital Boards
Employee Referral
Flyers
Job Posting
Schools/University
Website
Word of Mouth
If Employee Referral, please enter Employee's Name
*
*
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