JOB POSTINGS & APPLICATION - Tri-State Warehouse

GENERAL INFORMATION

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email

CAN YOU, AFTER EMPLOYMENT, SUBMIT VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE U.S.

YES
NO

ARE YOU 18 YEARS OF AGE OR OLDER?

YES
NO

HAVE YOU EVER BEEN CONVICTED OF A CRIME?

YES
NO

IF YES,

BRIEFLY EXPLAIN THE NATURE, DATE, AND DISPOSITION OF THE CASE. A YES ANSWER IS NOT AN AUTOMATIC BAR TO EMPLOYMENT BUT WILL BE LOOKED UPON AS ONLY ONE OF SEVERAL FACTORS CONSIDERED IN THE EMPLOYMENT PROCESS AND EVALUATED IN TERMS OF NATURE, SEVERITY, AND DATE OF THE OFFENSE. DO NOT INCLUDE ARRESTS WITHOUT CONVICTIONS, OR CONVICTIONS ADJUDGED “YOUTHFUL OFFENDER”.

ARE THERE CURRENTLY ANY FELONY CHARGES PENDING AGAINST YOU?

YES
NO

JOB INTEREST

POSITION APPLIED FOR:

EXPECTED SALARY / PER

EXPECTED SALARY PER DAY, WEEK, MONTH, OR YEAR

CURRENT PAY/SALARY -- PER

YOUR CURRENT PAY / PER DAY, WEEK, MONTH, OR YEAR?

EDUCATION AND TRAINING

NAME OF HIGH SCHOOL

ADDRESS OF SCHOOL

Street Address City State ZIP Code

GRADUATED

YES
NO

GRADE POINT AVERAGE

DEGREE, DIPLOMA OR CERTIFICATE AND MAJOR/MINOR FIELD OF STUDY

VOCATION / TECHNICAL SCHOOLS / JUNIOR COLLEGES

NAME OF SCHOOL

Address

Street Address City State ZIP Code

GRADUATED

YES
NO

GRADE POINT AVERAGE

DEGREE, DIPLOMA OR CERTIFICATE AND MAJOR/MINOR FIELD OF STUDY

COLLEGE OR UNIVERSITY

NAME OF SCHOOL

Address

Street Address City State ZIP Code

GRADUATED

YES
NO

GRADE POINT AVERAGE

DEGREE, DIPLOMA OR CERTIFICATE AND MAJOR/MINOR FIELD OF STUDY

OTHER TRAINING

ACADEMIC ACHIEVEMENT AND ACTIVITIES

PLEASE LIST ACADEMIC HONORS, SCHOLORSHIPS, FELLOWSHIPS AND SPECIAL RECOGNITIONS, MEMBERSHIPS IN ACADEMIC HONORARIES; OR PARTICIPATION IN OR OFFICES HELD IN EXTRACURRICULAR ACTIVITIES YOU CONSIDER SIGNIFICANT (YOU MAY EXCLUDE ALL INFORMATION WHICH MAY INDICATE YOUR RACE, RELIGION, COLOR, NATIONAL ORIGIN, SEX OR DISABILITY.)

EMPLOYMENT HISTORY

(1) COMPANY

BEGINNING DATE

END DATE

HOURLY RATE

Address

Street Address Address Line 2 City State ZIP Code

SUPERVISOR NAME / PHONE NUMBER

JOB TITLE / WORK PERFORMED

REASON FOR LEAVING

(2) COMPANY

BEGINNING DATE

END DATE

HOURLY RATE

Address

Street Address Address Line 2 City State ZIP Code

SUPERVISOR NAME / PHONE NUMBER

JOB TITLE / WORK PERFORMED

REASON FOR LEAVING

(3) COMPANY

BEGINNING DATE

END DATE

HOURLY RATE

Address

Street Address Address Line 2 City State ZIP Code

SUPERVISOR NAME / PHONE NUMBER

JOB TITLE / WORK PERFORMED

REASON FOR LEAVING

HAVE YOU EVER BEEN INVOLUNTARILY TERMINATED OR HAVE YOU RESIGNED AFTER BEING TOLD YOU WOULD BE INVOLUNTARILY TERMINATED?

YES
NO

IF YES, EXPLAIN

HAVE YOU EVER BEEN PREVIOUSLY EMPLOYED BY TRI-STATE WAREHOUSE?

YES
NO

IF YES, PLEASE SPECIFY DATES

ARE YOU KNOWN TO ANY OF THE ABOVE EMPLOYERS BY A DIFFERENT NAME?

YES
NO

IF YES, INDICATE NAME AND DATE USED

MAY TRI-STATE WAREHOUSE CONTACT YOUR CURRENT EMPLOYER LISTED ABOVE?

YES
NO

ARE YOU CURRENTLY OR WILL YOU BE BOUND BY NON-DISCLOSURE/NON-COMPETITION AGREEMENTS?

YES
NO

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY

I UNDERSTAND THAT TRI-STATE WAREHOUSE WILL THOROUGHLY INVESTIGATE MY WORK AND PERSONAL HISTORY AND VERIFY ALL DATA GIVEN ON THIS APPLICATION, ON RELATED PAPERS, AND IN INTERVIEWS. I AUTHORIZE ALL INDIVIDUALS, SCHOOLS, AND FIRMS NAMED THEREIN, EXCEPT MY CURRENT EMPLOYER IF SO NOTED, TO PROVIDE ANY INFORMATION REQUESTED ABOUT ME, AND I RELEASE THEM FROM ALL LIABILITY IN PROVIDING THIS INFORMATION. I CERTIFY THAT ALL OF THE STATEMENTS HEREIN ARE TRUE AND UNDERSTAND THAT MY FALSIFICATION OR OMISSION WHENEVER DISCOVERED SHALL BE SUFFICIENT CAUSE FOR DISMISSAL OR REFUSAL OF EMPLOYMENT. I REPRESENT AND WARRANT THAT I HAVE READ AND FULLY UNDERSTAND THE FOREGOING, AND THAT I SEEK EMPLOYMENT UNDER THESE CONDITIONS.

BY CHECKING THIS BOX YOU UNDERSTAND AND AGREE WITH THE ABOVE STATEMENT

I AGREE

JOB POSTINGS

JOB APPLICATION

GENERAL INFORMATION

JOB INTEREST

EDUCATION AND TRAINING

VOCATION / TECHNICAL SCHOOLS / JUNIOR COLLEGES

COLLEGE OR UNIVERSITY

OTHER TRAINING

EMPLOYMENT HISTORY

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY

Human Resources - (423) 476-4640

Contact