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BOOK YOUR MOVE TODAY | 605-342-1460
417 Pine St, Rapid City, SD 57701
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Movers/Packers Application For Employment
Movers/Packers
Application for Employment
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Date
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Name
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Last
Address
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Street Address
Address Line 2
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ZIP Code
Phone
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Date of birth
*
MM slash DD slash YYYY
When would you be available to start?
*
MM slash DD slash YYYY
Do you hold a current valid driver's license?
*
Yes
No
If no, please explain.
How long have you been a resident of Rapid City?
*
Education
*
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include military service assignments and volunteer activities.
Employer
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Job Title
Supervisor
Reason for Leaving
Work Performed
Starting Date
MM slash DD slash YYYY
Ending Date
MM slash DD slash YYYY
Starting Wage
Ending Wage
Employer
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Job Title
Supervisor
Reason for Leaving
Work Performed
Starting Date
MM slash DD slash YYYY
Ending Date
MM slash DD slash YYYY
Starting Wage
Ending Wage
Employer
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Job Title
Supervisor
Reason for Leaving
Work Performed
Starting Date
MM slash DD slash YYYY
Ending Date
MM slash DD slash YYYY
Starting Wage
Ending Wage
Employer
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Job Title
Supervisor
Reason for Leaving
Work Performed
Starting Date
MM slash DD slash YYYY
Ending Date
MM slash DD slash YYYY
Starting Wage
Ending Wage
Have you ever worked for a professional moving company before?
*
Yes
No
If yes, what roles?
Special Skills and Qualifications
*
Summarize special skills and qualifications acquired from employment or other experience
List the kind of work you have the most experience in:
*
Have you ever been denied a License, permit or privilege to operate a motor vehicle?
*
Yes
No
Has any license, permit or privilege even been suspended or revoked?
*
Yes
No
If the answer to either of the previous 3 questions is Yes, give details:
*
Have you ever been convicted of a crime?
*
Yes
No
Would you like to work for a drug and alcohol free company?
*
Yes
No
REFERENCES
First Reference Name
*
First
Last
First Reference Phone
*
Second Reference Name
*
First
Last
Second Reference Phone
*
Third Reference Name
*
First
Last
Third Reference Phone
*
TO BE READ AND SIGNED BY APPLICANT This certifies that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge. I also authorize this potential employer to obtain and verify information concerning my motor vehicle report (MVR), criminal and past employment history and run a background check.
Date
*
MM slash DD slash YYYY
Applicant's Name
*
First
Last
11351