Employment Application

Personal Information
Name*
First Last
Which location are you applying for?*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number*
Email Address*
Are you 18 years old or older*
- Yes
- No
Have you ever been convicted of any criminal convictions, other than a minor traffic violation, within the last ten years?*
- Yes
- No
Please describe*
*Conviction of a crime will not necessarily disqualify you for employment. Each conviction will be considered as a factor relevant to employment on its own merits, taking into account the time of the conviction and the job relatedness of the offense involved.

Employment Desired
Position desired*
Date you can start*
MM slash DD slash YYYY
Salary desired
Are you employed now?*
- Yes
- No
May we enquire of your present employer?*
- Yes
- No
Have you ever applied to this company before?*
- Yes
- No
Where?*
When*
Do you have a shift preference?
Is there a shift you cannot work?

High School Education or Equivalent
Name and location of school
Number of Years Attended
Did you graduate?
- Yes
- No
College Education
Name and location of school
Number of Years Attended
Did you graduate?
- Yes
- No
Trade, Business or Correspondence School
Name and location of school
Number of Years Attended
Did you graduate?
- Yes
- No
**CWC is an Equal Opportunity Employer.

General
Subjects of study or research work
U.S. Military Service*
- Yes
- No
Branch
Rank
Discharge
Nat. Guard or Reserves
Description of duties

Previous Employment
Please list last employer first.
Employer 1 Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Title of job last held
Supervisor*
Phone*
Dates you worked there*
Rate of pay: start*
Rate of pay: finish*
Describe position and duties you performed in detail
Reason for leaving*
Employer 2 Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Title of job last held
Supervisor*
Phone*
Dates you worked there*
Rate of pay: start*
Rate of pay: finish*
Describe position and duties you performed in detail
Reason for leaving*
Employer 3 Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Title of job last held
Supervisor*
Phone*
Dates you worked there*
Rate of pay: start*
Rate of pay: finish*
Describe position and duties you performed in detail
Reason for leaving*
Employer 4 Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Title of job last held
Supervisor*
Phone*
Dates you worked there*
Rate of pay: star*
Rate of pay: finish*
Describe position and duties you performed in detail
Reason for leaving*

References
Reference 1
Name
First Last
Phone
Years acquainted
Occupation
Reference 2
Name
First Last
Phone
Years acquainted
Occupation
Reference 3
Name
First Last
Phone
Years acquainted
Occupation

Job applicants agreement with Commercial Warehouse & Cartage, Inc.
I agree and understand CWC requires certain information about me to evaluate my qualifications for employment. I understand and agree that false, incomplete or misleading statements on this application constitute sufficient cause for dismissal whenever discovered for whatever reason. Further, I understand and agree that acceptance of this application does not constitute an offer or any guarantee that any job is available.

I authorize CWC and its representatives to investigate any and all statements contained in this application and to contact references listed. I understand that some parts of the background checks take time. I understand the results may not be complete before employment begins. I understand and agree the commencement and continuation of the employment relationship is contingent on an acceptable background check. I expressly authorize all persons or companies listed by me in this application to release information to CWC and release all such companies or persons from any and all liability for any damages that may result from their furnishing the information to CWC. By checking the box below, I expressly authorize the release of information and expressly release any providers of information from any liability to me whatsoever resulting in CWC's use of the information.

I understand and agree that if I am offered a job and accept the job, CWC reserves the right to make such changes in the terms and conditions of employment as the company decides are necessary or appropriate. I understand and agree that I will conform to the rules of CWC and acknowledge that these rules may be changed by CWC as the company deems necessary or appropriate. Further, I expressly understand and agree that my employment, if hired, is not for any specific length of time and that either CWC or I may terminate the employment relationship at any time for any reason. I understand and agree that only the President of CWC has the authority to alter the terms of this Agreement in any way, and that any such alteration must be in writing.
I have read, understand, and agree to the terms of Commercial Warehouse & Cartage, Inc.'s agreement as outlined above.*
- I agree
Name
This field is for validation purposes and should be left unchanged.

Step 1 of 7

Personal Information

Employment Desired

High School Education or Equivalent

College Education

Trade, Business or Correspondence School

General

Previous Employment

References

Job applicants agreement with Commercial Warehouse & Cartage, Inc.