Application for Employment

PLEASE ANSWER ALL QUESTIONS IN DETAIL

Name: *

Social Security No.

Current Address *

Phone number

Email *

Previous Addresses Within the Past Three (3) Years

Other Name(s) under which you were employed or attended school *

Desired rate of pay (indicate hourly or annual) *

Are you legally eligible to work in the US *

yes

no

Are you of the legal age to work full time (18 or older)? *

yes

no

Have you previously completed our application *

yes

no

If yes, give date

Have You Ever Been Employed With Us? *

yes

no

If yes, give date

Do you know anyone who works for us? *

yes

no

If yes, who

Date Available to work *

Are you currently on layoff status subject to recall? *

yes

no

Do you have transportation for daily commuting? *

yes

no

Do you have a CDL License? *

yes

no

If no, would you be able and willing to obtain a CDL License? *

Are you eligible to be bonded? *

yes

no

Have you ever pled "guilty" or "no contest" to, or been convicted of a felony?

yes

no

If "Yes" provide date(s) and details. NOTE: Answering"yes" does not constitute an automatic bar to employment. The nature of the offense, and the relevance of the offense to the position for which you are applying will be considered.

EDUCATION

Highest Level of Education Achieved *

What Was Your Grade Point Average?

Graduated

yes

no

Trade School

Graduated

yes

no

Apprenticeship

Graduated

yes

no

Other

Graduated

yes

no

Please describe all relevant past work experience