UNCLAIMED FREIGHT
APPLICATION FOR EMPLOYMENT
Today’s date: ______
NAME AND ADDRESS
Name: Last______First ______Middle ______
Social Security Number: ______
Current Address: Number ______Street ______
City______State ______Zip ______
Home Telephone: ______Work Telephone: ______
Position desired: ______Date you can start: ______
Full Time or Part time: ______Salary desired: ______
Are you employed now? ______If so, may we contact your employer? ______
Have you ever applied or worked for Unclaimed Freight before (if yes, explain) ______
______
Have you ever been discharged, terminated or asked to resign from any position you have every held (if yes, explain) ______
______
______
Are you willing to work any day, shift or hours assigned by the company? ______
If not, what hours are you not available to work? ______
______
Are you eligible to work in the United States? ______
EDUCATION
What was the last grade of High School completed and where: ______
______
How many years of College or Technical school completed and where: ______
______
EMPLOYMENT HISTORY
List the most recent employer first. Include any military history but do not include country of service. List any gaps in your employment history greater than 30 days.
Company Name, Address and Phone number
From: ______
To: ______
______
Why did you leave? ______
______
______
______
Beginning pay: ______Ending Pay: ______
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Company Name, Address and Phone number
From: ______
To: ______
______
Why did you leave? ______
______
______
______
Beginning pay: ______Ending Pay: ______
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Company Name, Address and Phone number
From: ______
To: ______
______
Why did you leave? ______
______
______
______
Beginning pay: ______Ending Pay: ______
PERSONAL REFERENCES
Give the names of three (3) persons acquainted with your work background.
NameBusinessPhone Number Years Known
______
______
______
OTHER INFORMATION
Have you ever been convicted of a crime or violation other than a minor traffic violation (if yes, explain) ______
______
______
______
ACKNOWLEDGMENTS AND AGREEMENTS
All applicants: Please read and agree to the following by signing below.
I hereby authorize all personnel, schools, companies, corporations and law enforcement agencies to supply and all such information pertinent to my employment and release the same from any liability resulting from providing such information. Unclaimed Freight has my permission to make said inquiries and I hereby release Unclaimed Freight from any liability in making said request or in relying on the information received.
I understand that if I am employed, employment is not for a stated period of time and is “at-will”. Either Unclaimed Freight or I may discontinue the relationship at any time without cause or notice. No practice, written or oral policy of statement by anyone, including Management personnel can alter this employment relationship.
I acknowledge that Unclaimed Freight may request either prior to employment and/or after employment a medical exam or drug testing, and I consent and agree to any such exam, now or in the future. I understand that prior to and/or after employment, a satisfactory result is a condition of employment.
In the event an offer of employment is made by Unclaimed Freight, while in the employ of Unclaimed Freight and for a period of twelve (12) months after my separation of employment, I agree not to solicit business from any client or customer of Unclaimed Freight or any person responsible for referencing business to Unclaimed Freight, for any competitor of Unclaimed Freight or for my own interests if I should become a competitor to Unclaimed Freight. This would only pertain to clients, customers or persons or entities who refer clients or customers if I, during the course of my employment with Unclaimed Freight have had the responsibility of developing, facilitating, maintaining and/or servicing those clients or customers.
I hereby certify that all statements and answers made on this employment application are complete and true. I understand that if subsequent to employment any such statements and/or answers are found to be false or that information is omitted, such false statements and/or omissions will be considered grounds for immediate termination of employment.
APPLICANTS SIGNATURE ______DATE: ______