Office Job Application - Full Service Logistics Company

Personal Info

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

First Name*

Middle Name

Last Name*

Phone*

Email*

Current Address

Number and Street*

City*

State*

Zip*

Phone*

Job

Position*

Location Preferred*

Shift preferred*

How did you hear about this position?

Background Questions

Special training or skills (languages, machine operation, etc.) that would benefit you in the job for which you are applying:

What type of work would you accept?*

Select all that apply
part-time
full-time

On what date would you be available for work?*

Have you worked for this company before?*

Yes

Location

Date From

Date To

Previous Rate of Pay

Position

Reason for leaving

Are you authorized to work in the U.S. for any employer?*

Will you now or in the future require Bett-A-Way to sponsor you for a U.S. work visa?*

If you are under 18 years old, can you provide a work permit if required?*

Yes

The following question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.

Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?*

Yes

Education Background


Education 1 Type* Select One High School College Graduate School Vocational Training/0ther Continuing Education School Name* Location* Course of study* Did you graduate?* Yes No Degree or diploma*
Education 2 Type Select One High School College Graduate School Vocational Training/0ther Continuing Education School Name Location Course of study Did you graduate? Yes No Degree or diploma
Education 3 Type Select One High School College Graduate School Vocational Training/0ther Continuing Education School Name Location Course of study Did you graduate? Yes No Degree or diploma
Education 4 Type Select One High School College Graduate School Vocational Training/0ther Continuing Education School Name Location Course of study Did you graduate? Yes No Degree or diploma

Employment History

Please check all employers you DO NOT want us to contact. List your most recent employers first. You may include verified work performed on a volunteer basis.


Employer 1 Are you sure you want to remove your last position and delete any information you may have filled in? Employer Name* Date From* Date To* Position Held* Responsibilities and Achievements* Number and Street* City* State* Select One AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code* Phone* Supervisor Name* Reason for leaving* OK to Contact?* Yes No
Employer 2 Are you sure you want to remove your last position and delete any information you may have filled in? Employer Name* Date From* Date To* Position Held* Responsibilities and Achievements* Number and Street* City* State* Select One AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code* Phone* Supervisor Name* Reason for leaving* OK to Contact?* Yes No

Employer 1

Are you sure you want to remove your last position and delete any information you may have filled in?

Employer Name*

Date From*

Date To*

Position Held*

Responsibilities and Achievements*

Number and Street*

City*

State*

Zip Code*

Phone*

Supervisor Name*

Reason for leaving*

OK to Contact?*

Yes

Employer 2

Are you sure you want to remove your last position and delete any information you may have filled in?

Employer Name*

Date From*

Date To*

Position Held*

Responsibilities and Achievements*

Number and Street*

City*

State*

Zip Code*

Phone*

Supervisor Name*

Reason for leaving*

OK to Contact?*

Yes

Submit Application

I certify that all the information submitted by me on this application is true and complete, and I understand that if any false or misleading information, omissions or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at any time. If hired, I agree to conform to the Company's rules and regulations, and I understand that these rules and/or the employee handbook do not form a contract of employment either expressed or implied, and I agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time, at either my or the Company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the Company. I understand that no Company representative, other than its owners, and then only when in writing and signed by the owners, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, résumé or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives for seeking, gathering and using truthful and nondefamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

This Company does not tolerate unlawful discrimination or harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state or local law. This Company takes all harassment complaints seriously and investigates each one promptly and thoroughly.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used to limit or exclude an applicant from employment consideration on any basis prohibited by applicable federal, state or local law.

I certify that the information provided on this document is true and correct.

You may upload your resume (pdf, text, and Word documents only)

add resume