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Online Employment Application, Part 1  

Apply for a job at John's Moving & Storage

Please fill out out the following two-part Online Application Form or visit our warehouse location to fill out an application today!

Application for Employment

asterisk (*) denotes required field

  1.  Personal Information   

First Name

*

 

Last Name

*

 

Email

 

 

     
Present Address *  
City

*

 

State *      Zip *

 

     
Permanent Address    
City

 

 

State        Zip  

 

     
Daytime Phone Number *   -  -         
  Preferred contact method   Phone    Email    Either
  Preferred contact time   AM        PM        Anytime
How did you hear about us?    

 

  2.  Employment Desired   
Position    
Date You Can Start

*

        

Salary Desired      

 

 

Are you currently employed?

 

 

 Yes        No

If so, may we inquire of your present employer?

 

 Yes        No

Have you ever applied to this company before?

 

 Yes        No  

If yes, when?    

 

  3.  Education History   

Name & Location of School

Years Attended

Did you

graduate?

Subjects Studied

 

Grammar School

 

   Yes

   No

 

High School

 

   Yes

   No

 

College

 

   Yes

   No

Trade, Business, or Correspondence School

   Yes

   No

 

  4.  General Information   
Subjects of special study/research work or special training/skills (please include items such as CDL license, previous experience, etc.):

 

 

     
U.S. Military or Naval Service  

Rank

 

 

  5.  Former Employers   
 

(List below last four employers, starting with the last one first)

 

Date

Month & Year

Name & Address of Employer Salary Position Reason for Leaving
1.

From   

To        
2.

From   

To        
3.

From   

To        
4.

From   

To        

 

 

  6.  References   

 

 
 

(Please give below the names of three persons not related to you, whom you have known at least one year.)

 

Name

Address

Business

Years

Known

1.

2.
3.
4.

 

 

  7.  Additional Information   
Please list any additional questions, comments, or concerns as well as any other important information.

 

 

 

 

  8.  Authorization   

            “I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

            I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

            I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

            This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”

     

Date: *

         

Signature: *

 
 

 

 

 

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