Personal Information First Name* Middle Name Last Name* Permanent Mailing Address* City* State* AL AK AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Other ZIP* Country* Day Time Phone Evening Phone FAX E-Mail* If previously employed by Movie Movers date left MM-DD-YYYY Monthly Salary Desired: Available for Overtime Yes Are you able to perform all of the essential job functions of the position for which you have applied?* Yes For reference checking purposes, please indicate other names used Are you over 18 years of age?* Yes Referred to Movie Movers by Relatives or friends employed by Movie Movers Have you been convicted of a felony within the last 7 years which has not been annulled or expunged or sealed by a court?* Yes Can you produce a valid work permit to work in the U.S. if employed? Yes Application Information Earliest date available* MM-DD-YYYY First Choice* Choose a Position RV TECHNICIAN GENERATOR MECHANIC WELDER / FABRICATOR MANUFACTURING SATELLITE TECHNICIAN FACILITIES MAINTENANCE ADVANCED ACCOUNTING Second Choice Choose a Position RV TECHNICIAN GENERATOR MECHANIC WELDER / FABRICATOR MANUFACTURING SATELLITE TECHNICIAN FACILITIES MAINTENANCE ADVANCED ACCOUNTING Third Choice Choose a Position RV TECHNICIAN GENERATOR MECHANIC WELDER / FABRICATOR MANUFACTURING SATELLITE TECHNICIAN FACILITIES MAINTENANCE ADVANCED ACCOUNTING Availability* Education Information Name of High School High School City, State Did you Graduate? Yes Name of College College City, State College Major Years Attended Did you Graduate? Yes College Degree Name of Business/Trade School Business/Trade School City, State Business/Trade School Major Years Attended Did you Graduate? Yes Business/Trade School Degree SKILLS U.S. MILITARY SERVICE Branch of Service Reserve Status Present Classification Work History (Start with most recent employer and list all jobs held in the past 10 years. Account for all periods of unemployment.) May we contact your current employer for a reference? Yes Applicant's Initials* Pre-Employment Statement: Read Carefully Before Signing I hereby authorize Movie Movers to investigate my education, employment experience and all other aspects of my background relevant to possible employment, including all statements made by me on this form or any supplement thereto. I also agree to release Movie Movers and any person to whom such inquiry is directed, from all liability arising directly or indirectly from any such investigation.
I further understand and agree that acceptance of this form does not constitute an employment agreement, and that if I am employed, my employment is for no definite period and may be terminated at will at any time without previous notice and with or without cause.
I certify that the information herein is accurate and complete to the best of my knowledge and understand that any omission or misrepresentation of fact may be considered reason for disqualification or dismissal.
Please type your full name in the space below to serve as your 'Signature' and to complete your application.
Applicant's Signature* Date* MM-DD-YYYY