Employment Application

Personal Information

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Desired Position:	- Select One - Driver Moving Helper
Desired Employment:	- Select One - Full-Time Part-Time Temporary/Seasonal
First Name:
Middle Name:
Last Name:
Other names under which you have attended school or been employed:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Other Phone:
Age:	- Select One - 15 16 17 18+

Background Information

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Are you eligible to work in the United States? YesNo

Are you currently employed? YesNo

May we contact your current employer? YesNo

Are you related to any current employee? YesNo

What is their name and relationship to you?

Do you have a valid Driver's License? YesNo

Enter the Licence #, State of Issuance & Exp Date:

Have you been convicted of a felony in the past 10 years? YesNo

Enter the date and type of offense:

Education

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Highest Level of Completed Education:	- Select One - Primary School High School GED College Other School
Year of Graduation:	- Select One - 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
School Name:
School City/State:

Experience

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List any relevent credentials, licenses, or professional affiliations:

List any relevent skills:

Work History

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Please enter your entire work history over the last 10 years.
Brazos Moving & Storage reserves the right to contact all current and former employers for reference information.

Employer Name:
Employer Address, City, State:
Supervisor Name:
Supervisor Phone:
Start Date:	Month 1 2 3 4 5 6 7 8 9 10 11 12 / Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
End Date:	Month 1 2 3 4 5 6 7 8 9 10 11 12 / Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
Starting Salary:
Ending Salary:
Hours Per Week:	- Select One - Under 10 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 Or More
Position(s):
Primary Duties:
Reason For Leaving:

Signature

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PLEASE READ CAREFULLY.
BY SIGNING BELOW, YOU CERTIFY THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.
I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Brazos Moving & Storage to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Brazos Moving & Storage serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. I understand that the first SIX MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal.

Sign & Complete Application