EMPLOYMENT

Office hours are M-S 7:00am-6:00pm

Phone:(818) 515-0158
Email:ted.cotter@insidemovesrelocation.com

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1 Applying For Position(s)

Applying For Position(s)

2 Personal Information

Personal Information
*Email Address: *Confirm Email Address:
*Desired Password:
*First Name: Middle Name: *Last Name:
Home Address:  
City: State : * Zip-code:
Date of Birth:   Year  
Language:  (Second Language spoken other than English)
Gender? :       Do you have a Driver's License?  
*Home Phone - - Cell Phone - -
Unites State Citizen YES    NO If not, please provide a lawful permenant resident (Alien #)
If hired, can you furnish proof you are eligible to work in the U.S.? Yes No
Best time to contact you for phone interview:  
Job Applied for    Salary Desired:
Are you seeking:  Full-time   Part-time    Temporary employment?
Referred By:  
When could you start work?
Are you available on Holidays? Yes No Desired Time: (Check all that apply)
Evening Shift Swing Shift Weekends
Availablity:
 
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Start Time
End Time
Were you ever employed here? Yes No       If yes, when?
Have you ever applied here before? Yes No       If yes, when?

Have you ever been convicted of any law violation (except a minor traffic violation)? Yes No

If yes, give detail
(A "Yes" answer does not automatically disqualify you from employment,. since the nature of the offense, date, and the job for which you are applying will also be considered.)

Are you now or do you expect to be engaged in any other business or employment? Yes No
If yes, please explain
   
Emergency Contacts
Name: Telephone: Relationship:
Name: Telephone: Relationship:
Name: Telephone: Relationship:
     

3 Education and Certificate

Education and Skills
Do you have High School or GED? Yes No
High School or GED: Year Graduated:
Do you have College or University Education? Yes No
College or University: Major/Degree Earned:
Do you have Vocational or Technical Education? Yes No
Vocational or Technical: Major/Degree Earned:
What skills or additional training do you have that are related to the job for which you are applying?
What is your Driver's license number?
Expiration Date?
   
Do you have moving industry experience? Yes No
Experience Details

4 Employment History

Employment History # 1
Employer  Postion: 
Address: 
City:      State :        
Zip-code:
Supervisor:  Telephone: 
Employment Date:  From - To         Pay: Starting $ - Ending $
Reason for Leaving: 
Employment History # 2
Employer  Postion: 
Address: 
City:      State :        
Zip-code:
Supervisor:  Telephone: 
Employment Date:  From - To         Pay: Starting $ - Ending $
Reason for Leaving: 
Employment History # 3
Employer  Postion: 
Address: 
City:      State :        
Zip-code:
Supervisor:  Telephone: 
Employment Date:  From - To         Pay: Starting $ - Ending $
Reason for Leaving: 
Attach Resume (pdf,doc,docx):

5 Review and Submit

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I certify that the facts contained in this application are true and correct to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the reference and employers listed above to give you any and all information concerning my previous employment, and release the company from all liability for any damages that may result from utilization of such information.
Full Name: