test

    Date of Application:

    First Name*

    Last Name*

    Address*

    City*

    State*

    Zip Code*

    Telephone Number*

    Driver’s License Number *

    CDL Class *

    Years of CDL experience?*

    Email*

    If necessary, the best time to call you: *

    Are you legally eligible for employment in the United States?

    NoYes

    NOTE:Proof of citizenship or immigration status will be required before employment.

    Are you 18 years of age or older?

    NoYes

    Please Choose One:

    MaleFemale

    What position are you applying for?

    Do you have any Special Skills?

    Do you have any Household Goods or Furniture Moving Experience?

    NoYes

    Part-Time or Full-Time Desired?

    Part TimeFull TimeSeasonal

    Will you work overtime if required?

    NoYes

    When can you start?

    Do you have a reliable way to get to work?

    NoYes

    Have you ever been employed here before?

    NoYes

    If Yes, please give the dates:

    From To

    Have you ever been convicted of a felony including theft or assault in the last seven (7) years?
    (Such conviction may be relevant if job related, but does not bar you from employment.)

    NoYes

    If Yes, please explain:

    Education (Please indicate highest level attained and year of graduation, if appropriate.)

    High School

    Date of Graduation

    Level Attained

    College

    Date of Graduation

    Level Attained

    Other School

    Date of Graduation

    Level Attained

    How did you hear about this opportunity?

    On the Internet (Please tell us where you saw it.)From an Anchor employeeRelativeOther (Please tell us)

    Employment History:

    Employer

    Job Title

    Dates Employed

    From

    To

    Hourly Rate / Salary

    Employer

    Job Title

    Dates Employed

    From

    To

    Hourly Rate / Salary

    Are you a US Military Veteran?

    What Branch did you serve in?

    When did you serve?

    from

    To

    Were you honorably discharged?
    NoYes

    Leave a Reply

    Your email address will not be published. Required fields are marked *