EmailMeForm
EMPLOYMENT APPLICATION
Thank you for your interest in employment with
Central Arizona Moving & Storage, Inc.
in Phoenix, AZ.
This Pre-Employment Questionnaire is provided digitally for your convenience. If you would prefer to complete a paper version please contact the office at (602) 727-5535.
Position applying for
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Moving Specialist
Driver & Moving Specialist
Other
Seeking Full or Part-time?
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Full-time
Part-time
Either
Date available to start
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MM
/
DD
/
YYYY
Hours per week available
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M
Tu
W
Th
F
Sa
Su
Days available
(Optional) Upload your resume
PDF or Word Documents Only
CONTACT INFORMATION
Name
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First
Middle
Last
Home Phone
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-
####
Mobile Phone
*
###
-
###
-
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Email
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Home Address
Street Address
Apartment or Unit #
City
State
Zip Code
Name and relationship of any relatives in our employ
Referred by
CURRENT EMPLOYMENT
Are you currently employed?
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Yes
No
Current job is
Part-time
Full-time
May we contact your employer?
Yes
No
Company name of current employer
Employed since
month/year
Supervisor's name
Supervisor's phone
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-
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PRIOR EMPLOYMENT
Prior employer (most recent)
Employer Phone
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-
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Dates employed
FROM month/year | TO month/year
Hourly wage
Position(s) worked
Reason for leaving
Prior employer (prior to most recent)
Employer Phone
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###
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Dates employed
From month/year to month/year
Hourly wage
Position(s) worked
Reason for leaving
EDUCATION
Are you currently a student?
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Yes, full-time
Yes, part-time
No
What school or college are you attending?
What level of education have you completed?
High School
Some college
Associate's Degree
Bachelor's Degree
Other
Do you have a High school diploma or GED?
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Yes
No
REFERENCES
Provide three personal references not related to you, whom you have known at least one year.
References
Name
Phone
Business
Years known
1.
2.
3.
Have you ever been convicted of, pled guilty to or pled no contest to a crime, excluding misdemeanors and traffic violations?
*
Yes
No
Answering Yes will not necessarily bar you from employment. Applicants are not required to disclose sealed or expunged conviction records or the existence of such records.
If yes, please list When, Where and Disposition for each case:
PLEASE READ THE SECTIONS BELOW CAREFULLY BEFORE SIGNING AND SUBMITTING.
U.S. law requires that, if hired, you must furnish appropriate documentation establishing identity and employment eligibility, generally within 72 hours of starting work. For example, acceptable documents include: a U.S. Passport, INS forms 688 or 688A, a Social Security Card or birth certificate issued by government authority and a driver's license, school I.D. with photo or other government issued documentation establishing identity. Certain other documents are equally acceptable. Please consult a member of the management team and ask them for a copy of INS form I-9 for a list of these documents.
EQUAL OPPORTUNITY EMPLOYER
Central Arizona Moving & Storage is an Equal Opportunity Employer (EOE). Various Federal, State and Local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability, sexual orientation, veteran status or other protected categories. It is this employer's policy to comply fully with these laws, as applicable, and information requested on this application will not be used for any purpose prohibited by law.
ACKNOWLEDGEMENTS
1. I represent and acknowledge that I can read and write English.
2. I certify that I have read this application and the information on it is complete and correct. I understand that any omissions or misrepresentation of information is grounds for dismissal.
3. I authorize the persons, employers, schools and organizations listed on this application to give you any information concerning my employment and other pertinent information they may have, personal and otherwise, and release all parties from all liability and damages that may result from furnishing this to you.
4. I acknowledge that Central Arizona Moving & Storage reserves the right to amend or modify any of its handbooks or policies at any time and without prior notice. These policies do not create any promises or contractual rights between employer and its employees. Employee's employment is at will. This means an employee is free to terminate his/her employment at any time, without any reason, with or without cause, and employer retains these same rights.
5. I understand that as a part of the procedure for my employment application an investigative consumer report may be made concerning my character, general reputation, personal characteristics and mode of living. Upon written request, additional disclosure concerning the cmplete nature and scope of the investigation will be provided. If I am denied a job based either wholly or in part because of information contained in an investigative consumer report, I will be provided the name and address of the reporting agency that supplies the information.
ADDITIONAL INFO
Add any additional information you'd like us to consider when reviewing your application.
Additional info
(optional)
SIGNATURE
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omiision of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, at the discretion of the employer, be terminated at any time without any previous notice.
Digital Signature
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By entering my full name above and signature below I attest that I am the person named herein and submitting this application to Central Arizona Moving & Storage, Inc.
Written Signature
*
Clear
PLEASE SIGN YOUR NAME IN THE SPACE ABOVE.