Application: Regulatory Affairs Coordinator Job at Gauthier Biomedical in Grafton, WI

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Current street address

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Currently in the military
or a military veteran

Yes No

Highest Rank Attained

Current (most recent) job title

Level of education attained

Current level of security clearance

Security clearance note

Legally authorized to work in the U.S.

Yes No

Available to start work

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The next step in our application process is to complete our Employment Application, which is located on the Careers page on our website at https://www.gauthierbiomedical.com/careers/. Or, to initiate the process, you are welcome to complete the following questions (please do NOT write "see resume"), and we will get back to qualified candidates with the Employment Application as applicable. Thank you.

Q1. Are you at least 18 years old?

Yes
No

Q2. Are you legally authorized to work in the U.S.?

Yes
No

Q3. Will you now, or in the future, require sponsorship for employment visa status (ie: H-1B visa status)?

Yes
No

Q4. What SHIFT do you prefer?

Only 1st Shift
Only 2nd Shift
1st or 2nd Shift

Q5. Describe your EDUCATION; include the name and location of your High School, Technical School, College, or Other, as applicable. Diploma or Degree Received?

Q6. Describe your CURRENT/RECENT EMPLOYMENT; please include the Company Name, Address, Phone Number, Job Title/Responsibilities, Employment Dates, Starting Salary & Ending Salary, and Reason for Leaving. (Do NOT write "See Resume")

Q7. Describe your PRIOR EMPLOYMENT; please include the Company Name, Address, Phone Number, Job Title/Responsibilities, Employment Dates, Starting Salary & Ending Salary, and Reason for Leaving. (Do NOT write "See Resume")

Q8. PLEASE READ CAREFULLY BEFORE ELECTRONICALLY SIGNING THIS FORM:
1. All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.
2. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.
3. I understand that upon receiving a job offer, it is contingent upon A) acceptable results of a complete background check including, but not limited to, References, Criminal History, Education Verification, Driving Record, and Credit Report, if applicable; B) passing a pre-employment drug test and compliance with our Drug and Alcohol Testing Program; and C) submitting the legally required proof of my identity and authorization to work in the United States.
4. Regardless of whether or not I become employed by the company, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and with or without notice, at any time, at my option or the company’s, unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the company, and then only by means of a signed, written document.
Sign and Date:

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