Ralph's Moving and Storage: Safety, Quality, Service

Online Application

First Name (required)

Last Name (required)

Phone Number (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Your Email (required)

Are you authorized to work in the United State? yesno

Are you 18 years of age or older? yesno

Are you willing to consent to a background check, including a criminal record check, employment, and drug screening, and ongoing random testing? yesno

Have you EVER been convicted of any type of theft charge? yesno

Have you EVER been convicted of any type of sex crime? yesno

Have you EVER worked for a Moving & Storage company? yesno

Do you have transportation to get to work daily?yesno

Have you worked for this company before? yesno

Are you currently employed? yesno

Do you have packing experience? yesno

Do you have driving experience? yesno

Do you have a valid driver's license? yesno

Do you have a current DOT medical card? yesno

Are you forklift certified? yesno

Which position are you applying for?

Are you looking for full time or part time work? Full TIme (More than 30 hours per weekPart Time (Less than 30 hours per week)

When would you be able to start working?


WORK EXPERIENCE

MOST RECENT POSITION

Position Title 1

Company

Start Date   End Date

Position TypeFull TImePart Time

Starting Pay  Ending Pay

Supervisor's Name

May we contact for a reference?

Company Address
Company City

Company Phone

Reason for Leaving

Position Description

PREVIOUS POSITION

Position Title

Company

Start Date   End Date

Position TypeFull TImePart Time

Starting Pay  Ending Pay

Supervisor's Name

May we contact for a reference?

Company Address

Company City

Company Phone

Reason for Leaving

Position Description

PREVIOUS POSITION

Position Title

Company

Start Date   End Date

Position TypeFull TImePart Time

Starting Pay  Ending Pay

Supervisor's Name

May we contact for a reference?

Company Address

Company City

Company Phone

Reason for Leaving

Position Description


EDUCATION

School or Institution
Degree
Certificate/Major:

Location
Completion Date

Did You Graduate? YesNo


REFERENCES

Reference 1 Name

Phone

Occupation

How long have you know this person?

Reference 2 Name

Phone

Occupation

How long have you know this person?

Reference 3 Name

Phone

Occupation

How long have you know this person?


APPLICANT STATEMENT

I declare that this application was completed by me and that all statements and answers in this application are true and complete to the best of my knowledge. By completing this application, I give the employer the permission to validate my answers with the appropriate authorities.
I authorize the employer to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. I authorize this employer or its agents to investigate my references, to review my former employment records and to keep and preserve records of such investigations. Additionally, I release all parties from all liability in responding to inquiries and releasing information in connected with my application to this employer or its agents.
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to review information provided by previous employer(s), have errors in the information corrected by previous employer(s) and for those previous employer(s) to re-send the corrected information to the prospective employer, and have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
I agree that in the event of my employment, any untrue or misleading answer, omission, concealment or failure to answer any questions fully, completely and accurately may be grounds for terminating my employment, regardless of when it is discovered. I understand that I am required to abide by all rules and regulations of the Company. I understand that a pre-employment drug screen and background check will be required prior to commencing work as an employee of Ralph’s Moving & Storage. The drug screen results must be negative as a condition of my employment with Ralph’s Moving and Storage. If the drug screen result is positive, Ralph’s Moving & Storage reserves the right to deny employment. Ralph’s Moving & Storage reserves the right to terminate employment based on the results of the drug screen and background check. I hereby authorize Ralph’s Moving & Storage to run motor vehicle reports as needed prior to or during my employment. I further acknowledge for a failed drug screen or background check, that I will reimburse Ralph’s Moving & Storage for the cost of those tests.

Attach Resume:

I agree to the above terms (your signature below indicates your agreement to the terms):

Signature
Date

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