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If you would like to be considered for a job with Metro Delivery please fill out the following application.
   Personal Information
 Last Name  First Name  Middle Name  Social Security #
       
 Street  City  State  Zip Code
       
 Telephone #  Mobile Phone #  E-Mail Address  Position Applied For
       
 If you are under 18, and it is required , can you furnish a work permit ? Yes      No
 If No, please explain    

   
 Have you ever been employed here before? Yes      No
 If yes give dates and positions    
     
 Are you legally eligible for employment in this country ? Yes      No
 Date available for work  What is your desired salary range?  
       
 Type if employement desired  
 Full Time    Part Time     Temporary    Seasonal  
 Educational Co-op        
 Are you able to meet the attendence requirements of the position? Yes     No
Have you ever pled "guilty" or "no contest" to, or been convicted of a crime? Yes      No
 If yes please provide      
 Date  Details    
   

Answering yes to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

 Drivers license number if driving is an essential job function  State
       
   Employment History
 From (Starting Date)  To (Ending Date)  Employer  Telephone #
       
  Job Title  Address    
   
 Immediate supervisor  and Title  Summarize the nature of work performed & job  responsibilities
   
 May we contact for reference ?   Reason for leaving  
       
 Hourly Rate / Salary    
 Starting $  Per  Final $  Per
       
 From (Starting Date)  To (Ending Date)  Employer  Telephone #
       
  Job Title  Address    
   
 Immediate supervisor  and Title  Summarize the nature of work performed & job  responsibilities
   
 May we contact for reference ?   Reason for leaving  
       
 Hourly Rate / Salary    
 Starting $  Per  Final $  Per
       
 From (Starting Date)  To (Ending Date)  Employer  Telephone #
       
  Job Title  Address    
   
 Immediate supervisor  and Title  Summarize the nature of work performed & job  responsibilities
   
 May we contact for reference ?   Reason for leaving  
       
 Hourly Rate / Salary    
 Starting $  Per  Final $  Per
       

Summarize any training, skills, licenses, and / or certificates that may be qualify you as being able to perform Job-related functions in the position for which you are applying,

   Educational Background
 High School

Number of Years Completed

Did you Graduate ?

Course of Study

    Yes   No  
 College

Number of Years Completed

Did you Graduate ?

Course of Study

    Yes  No  
 Other

Number of Years Completed

Did you Graduate ?

Course of Study

      Yes   No
   References
 Name  Telephone #  Number of years Known
       
       
       

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete, and correct.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no questions on this application are used for the purpose of limiting or excusing tiny applicant from consideration for employment on a basis prohibited by applicable local, state, and federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, unless otherwise required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an 1-9 Form in this regard.

   I certify that I have read, fully understand and accept all terms of the foregoing Application Statement. I agree that the electronic submission of this application acts as my signature for all legal purposes pertaining to this application.

CCS