Personal Data

 
   

Date

First Name

Middle Name

Last Name

Street

Apt

City

State

Zip

Home Phone

- -

Cell Phone

Email

Email address will only be used for employment communication.

   
     

Are you 18 years of age or older?

Yes

No

     

Are you eligible to work in the
United States?

Yes

No

     

Have you ever plead guilty or been
convicted of a crime other than a
driving related misdemeanor within
the past 7 years?

   
     

If yes, please explain on the given line below (Conviction of a crime is not an automatic bar to employment)

     
 

Educational Data

Highest grade completed  

College           Grad. School     

 

Type of School

Name of School

City/State

Course of Study

Graduated?

Grade

High School

College

Grad. School

 

Material Handling Equipment Experience
( Rate Yourself, Check One)

Type of Equipment

Expert Abilities

Good Abilities

Novice/No Experience

Forklift

Electrical Jack

Order Picker

Reach Truck

Swing Reach

Computer Experience
(Check the appropriate boxes)

Other

 
 

Position Applied for:          Are you available full time? 

Have you ever worked for International Warehouse Group before?     If yes, when 

Do you have a relative working for International Warehouse Group?     If yes, who? 

Have you ever been dismissed or involuntarily terminated from any employment? 

 

Employment History

Date
Month and Year Most
Recent employer first

Name
Address
Phone of Employer

Salary

Position

Reason for leaving

From

To

         

From

To

         

From

To

         

From

To

       

References

     

Name

Phone Number

Business

Years Acquainted

   

Are you able to perform the essential functions of the job(s) for which you are applying
without accommodation?

   

If No, please explain:

 
 

AFFADAVIT

I authorize International Warehouse Group or its agents to investigate all of the information that I have provided on this employment application. I authorize any references that I have or will provide to give International Warehouse Group all information concerning my previous employment and other pertinent information they may have, personal or otherwise, and release International Warehouse Group and all references, including past employers from all liability that may result from obtaining such information.

I understand that any false or misleading information provided by me on this application or during any interview may result in my not being hired or later discharged. I understand that this application does not and is not intended to create an express or implied contract of employment or to guarantee employment for any period of time. I understand that if employed, my employment is "at will" and both International Warehouse Group and I may at any time end my employment with or without reason and with or without notice. I further understand that this is a 60 day probationary period during which my performance will be evaluated. I further understand that my "at will" employment relationship may not be changed by any written document, by oral statement, or by contract unless such change is acknowledged in writing by the president of the company.

This application is valid for 90 days only.