APPLICATION FOR EMPLOYMENT
Applicant Name
Home Phone
Cell Phone
Email Address
Current Street Address
City, State, Zip
EMPLOYMENT POSITIONS
Are you applying for:Temporary Work
Regular Part-time Work
Regular Full-time Work
What is your experience working for a professional moving company?None
6 months
1 year
2 years
3 years
More than 3 years
What days and hours are you available to work?
If applying for temporary work, what is your availability?
If hired, on what date can you start work?
Can you work on weekends? Yes or No
Can you work any evenings? Yes or No
PERSONAL INFORMATION
Are you able to lift at least 150 pounds? Yes or No
A vehicle is necessary for this job. Do you have a vehicle? Yes or No
A cell phone is necessary for this job. Do you have a cell phone? Yes or No
If hired, can you offer proof of U.S. Citizenship, or your legal right to work in the U.S.? Yes or No
If hired, are you willing to submit to and pass a controlled substance test? Yes or No
Have you ever been convicted of a felony? Yes or No
If yes, please describe the crime: State the nature of the crime(s), when and where convicted and the disposition of the case(s). [Note: No applicant will be denied employment solely on the grounds of a conviction.]
EDUCATION, TRAINING AND EXPERIENCE
High School
School Name, City and State:
Number of years completed:
Did you graduate or get a GED? Yes or No
Other Education
School Name, City and State:
Number of years completed:
Did you graduate? Yes or No
Certification / Degree / Diploma?
Additional Information
Do you have any other experience, training, qualifications or skills which you feel would make you especially suited for working with us? If so, please explain:
EMPLOYMENT HISTORY - Please describe positions where you have worked for professional moving companies
Are you currently employed? Yes or No
Current Employer Company Name and your Supervisor's Name:
Telephone Number:
Company Address, City and State:
Dates of Employment:
May we contact this employer for references? Yes or No
Past Employer 1
Company Name and your Supervisor's name:
Telephone Number:
Company Address, City and State
Dates of Employment:
May we contact this employer for references? Yes or No
Past Employer 2
Company Name and Your Supervisor's Name
Telephone Number
Company Address, City and State
Dates of Employment
May we contact this employer for references? Yes or No
Please Read the Following Paragraph and then Sign Your Name Below
I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company. I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either the company or me. I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.
