Application For Employment Store Location(s)*(Required)Select one or more store locations you wish to apply for.Gilligan's on ChandlerGilligan's on PecosGilligan's on Indian SchoolGilligan's on MarylandThe Lucky StopThe Welcome Stop - BainvilleThe Welcome Stop - PlentywoodGilligan's on Iron SpringsGilligan's on Cooper BasinGilligan's on Twin LakesGilligan's on 69Gilligan's Spring ValleyGilligan's on Mayer MarketPersonal InformationName *(Required) First Last Social Security # *(Required) Address *(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone *(Required)Email *(Required) Are you 16 years of age or older? *(Required)(Employees under the age of 18 may require to obtain a work permit) Yes No Date of Birth *(Required) MM slash DD slash YYYY How did you hear about the position? *(Required)Are you able, upon employment, to submit verification of your identity and legal to work in the United States? *(Required) Yes No Have you ever been convicted of a criminal offense? *(Required) Yes No If yes, please explain *(Required)(a criminal record will not necessarily bar you from employment)Employment DesiredPosition *(Required) When are you available to start work? *(Required) MM slash DD slash YYYY Total available hours per week *(Required)Please indicate the hours available to work *(Required)(From when to when)MondayTuesdayWednesdayThursdayFridaySaturdaySunday Add RemoveEducationHigh School *(Required)NameLocationLast Grade CompletedDiploma? Add RemoveCollege & Business *(Required)NameLocationLast Grade CompletedDiploma? Add RemoveOther Training *(Required)NameLocationLast Grade CompletedDiploma? Add RemoveEmployment History (Start with your current or most recent employer & list all employers for the last five years)Employment History(Required)Employer NameEmployer AddressPositionDate (Start to End)Final WageSuperior's NamePhone # Add RemoveReferences (Give the names of three individuals not related to you who you have known at least one year)References(Required)NameAddressPhone #Years Known Add RemoveEmergency ContactEmergency Contact(Required)NamePhone #Relationship Add RemoveApplicant's Statement I certify that all information given in this application is true and complete to the best of my knowledge. I authorize investigation of any and all statements contained in this application as part of the process in arriving at an employment decision. I understand that all employment is “at will”. This means that the employee has the right to terminate his/her employment at any time, with or without notice, and with or without cause, and the Company reserves the right to do the same. This “at will” supersedes all prior agreements and cannot be changed by future events, even though other policies and procedures may change from time to time. I further understand that false, misleading or omission of facts given in my application or interview(s) may result in termination. In consideration of my employment, I agree to abide by all standard set forth by Gilligan’s Company. Signature I agree to the applicant's statement above.NameThis field is for validation purposes and should be left unchanged.