22230 N. Black Canyon  Hwy                           Phoenix, Arizona 85027

First Class Moving & Storage, Inc.
PO Box 86715
Phoenix AZ 85080

Personal Information

Name__________________________________________________________

Date of birth_______________________________
Social Security Number______________________
Street Address ______________________________________________
Apt. No.____________
City____________________ State__________ Zip_________
Telephone No. ______________

Have you ever worked for a moving company before? ____________

If so, dates: From_______________ to _______________
Position______________________ Location____________________________________

Can your present employer be contacted?________
Do you have reliable transportation?________
For what position are you applying?_______________________________________
How many hours per week do you want to work?___________
Are you able to work Weekends?___
When could you begin work? ____________________
How did you hear about us? ____________

Skills and Experience

Please list any special qualifications, training, education, skills, or experience that you feel would be beneficial to our company.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please list any equipment abilities you have which might be useful for the job which you are applying for._____________________________________________________________________________________________________________________________________________________________________________________________________________________

Education

Highest elementary or high school grade completed _______
Did you graduate? __________
Date _______________
Name and location of high school___________________________________

Highest college year completed ___________Did you graduate? ________
Date ________________

Name and location of college, university, trade or business school__________________________________________
Major field of study_______________________________

Work Experience

Name of Present Employer_________________________
Type of Business ________________________________
Address________________________________________
City__________________  State ___________
Starting Date (Mo./Yr.) _________________
Leaving Date (Mo. /Yr.) ________________
Job Title ____________________________

Job Description and Responsibilities Name of Supervisor_______________________________________________________________________________________________________________________________________

Were you terminated? _____
Explain reasons/circumstances for changing or wanting to change jobs.____________________________________________________________________________________________________________________________________________

If we contact this employer, would you expect them to say they would rehire you for the position you last held there? ____________

Why? ________________________________________________________________________________________________________________________________________________

Employer’s Phone Number ____________

Name of Past Employer_________________________
Type of Business ________________________________
Address________________________________________
City__________________  State ___________
Starting Date (Mo./Yr.) _________________
Leaving Date (Mo. /Yr.) ________________
Job Title ____________________________

Job Description and Responsibilities Name of Supervisor_______________________________________________________________________________________________________________________________________

Were you terminated? _____
Explain reasons/circumstances for changing or wanting to change jobs.____________________________________________________________________________________________________________________________________________

If we contact this employer, would you expect them to say they would rehire you for the position you last held there? ____________

Why? ________________________________________________________________________________________________________________________________________________

Employer’s Phone Number ____________
Name of Past  Employer_________________________
Type of Business ________________________________
Address________________________________________
City__________________  State ___________
Starting Date (Mo./Yr.) _________________
Leaving Date (Mo. /Yr.) ________________
Job Title ____________________________

Job Description and Responsibilities Name of Supervisor_______________________________________________________________________________________________________________________________________

Were you terminated? _____
Explain reasons/circumstances for changing or wanting to change jobs.____________________________________________________________________________________________________________________________________________

If we contact this employer, would you expect them to say they would rehire you for the position you last held there? ____________

Why? ________________________________________________________________________________________________________________________________________________

Employer’s Phone Number ____________

Legal

Have you ever been convicted of a crime or pled “No contest” on anything other than a routine traffic violation?

If yes, date of conviction __________________ Please explain ________________________________________________________________________________________________________________________________________________

Conviction of a crime will not necessarily disqualify you from consideration for employment

By signing this application for employment, I certify that I have read and understand all parts of it and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein or on any other employment form is grounds for immediate termination, regardless of when such falsification may be discovered.

I understand that I may be subject to pre-employment drug screening. I also understand that at any time during my employment at First Class Moving & Storage I may be required to take a drug screening test, with no prior notice.

I understand that my employment with First Class Moving & Storage is for no definite length of time. I understand my employment may be terminated at any time, with or without cause, at the option of either the employer, or myself.
If accepted for employment, I agree to comply with all company policies and procedures, and with all rules and regulations made known at the time of employment or any other time thereafter, and to perform all duties assigned to me to the best of my ability.