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Gulf South Services, Inc.

Providing high-quality scaffolding, coatings, insulation, and fireproofing solutions for construction projects

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Employment Application

Gulf South Services

Employment Application

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First Name

Last Name

Date of Birth

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone

Reffered By

Available Start Date

Email

TWIC?

Yes

No

Position Applied For:

Onshore

Offshore

Both

Craft:

Scaffold

Painter/Blaster

Insulation

Helper

Other:

Did you serve in the US Armed Forces?

Yes

No

If yes, what branch?

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the US?

Yes

No

Have you ever worked for this company?

Yes

No

If yes, when?

Do you have your own reliable transportation?

Yes

No

Have you ever been convicted of a felony?

Yes

No

If yes, please explain

Education

High School:

Address:

Did you graduate?

Yes

No

If yes, what year?

Other School:

Address:

Did you graduate?

Yes

No

If yes, what year?

Skills/Training Certs

List all qualifications, training, and certification relevant to the position you are applying for:

Previous Employment

Have you been previously employed?

Yes

No

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference

Yes

No

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference

Yes

No

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference

Yes

No

References

Please list three professional references.

Full Name

Company

Address

Relationship

Phone

Full Name

Company

Address

Relationship

Phone

Full Name

Company

Address

Relationship

Phone

Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Yes

No

Don’t Let Your Construction Project Fall Flat

Trust Gulf South’s Proven Solutions and Request a Consultation Today!

CONTACT US TODAY!

Gulf South Services, Inc.

Phone: 985-354-4043
Email: Info@GSSIMail.net

252 Trinity Ln.
Gray, LA 70359

PO Box 1987
Gray, LA 70359

302 Ford Industrial Rd.
Morgan City, LA 70380

PO Box 1987
Gray, LA 70359

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