Office / Administrative
It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, or other protected classification.
Position(s) applied for
Name
Address
City
State
Zip Code
Telephone Number
Are You Over 18 Years Old? YesNo
Are you authorized to work in the U.S. on an unrestricted basis? YesNo
How did you learn of this opening?
Have you worked here before? YesNo
Have you been told the essential functions of the job or have you been shown a copy of the job description listing the essential functions of the job? YesNo
Can you perform these essential functions with or without reasonable accommodation? YesNo
Are there any hours, shifts or days you cannot or will not work? YesNo
Are you willing to work overtime as required? YesNo
Have you ever been convicted of a felony? YesNo
(Conviction will not necessarily disqualify an applicant for employment.) If yes, describe conditions:
Name And Location
Diploma Degree YesNo
Year Graduated
Major
Other Training/Education
In addition to your work history (reverse side), what other experiences, skills or qualifications would especially fit you for work with our company?
May we contact your present employer? YesNo
Previous Employeer
Telephone
Date Started
Starting Salary
Starting Position
Date Left
Salary On Leaving
Position On Leaving
Name And Title Of Supervisor
Description Of Duties
Reasons For Leaving
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Company to make an investigation of any of the facts set forth in this application and release from any liability both the Company and those who supply reference information. I also understand that the job description shown to me is an estimate of the nature and amount of work to be performed and that the job requirements are subject to change.
I understand that employment at this Company is "at-will," which means that either I or the Company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager or executive of the Company, other than the president has any authority to alter the foregoing.
Universal Haulin & Logistics, LLC. 2019.
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