New Team Member Application

PERSONAL INFORMATION

Position Applying For:  Distribution Center Clerk (8.18)
Job ID#: Distribution Center Clerk (8.18)
Date: 2/21/2019 9:51:07 AM
First Name:
Last Name:
Middle:
Street:
City:
State:
Zipcode: A value is required. Invalid format.
Daytime Phone:
  OR Evening Phone:
  Email:

EMPLOYMENT HISTORY

Please give an accurate, complete full-time and part-time employment record. Start with the present or most recent employer and account for all periods of unemployment, including active or reserve military service.

Employer
Company Name: Exceeded maximum number of characters.
Hire Date: Format: 04/25/2014
Ending Date: Format: 04/25/2014   OR is Curent:
Street:
City:
State:
Zipcode:

Job Title:
Immediate Supervisor:
Supervisor's Title:
Reason For Leaving:
May we contact this current/previous employer?
If No, please give explanation:

Employer
Company Name: Exceeded maximum number of characters.
Hire Date: Format: 04/25/2014
Ending Date: Format: 04/25/2014   OR is Curent:
Street:
City:
State:
Zipcode:

Job Title:
Immediate Supervisor:
Supervisor's Title:
Reason For Leaving:
May we contact this current/previous employer?
If No, please give explanation:

Employer
Company Name: Exceeded maximum number of characters.
Hire Date: Format: 04/25/2014
Ending Date: Format: 04/25/2014   OR is Curent:
Street:
City:
State:
Zipcode:

Job Title:
Immediate Supervisor:
Supervisor's Title:
Reason For Leaving:
May we contact this current/previous employer?
If No, please give explanation:

Employer
Company Name: Exceeded maximum number of characters.
Hire Date: Format: 04/25/2014
Ending Date: Format: 04/25/2014   OR is Curent:
Street:
City:
State:
Zipcode:

Job Title:
Immediate Supervisor:
Supervisor's Title:
Reason For Leaving:
May we contact this current/previous employer?
If No, please give explanation:

EDUCATION

Career Level: Please select an item.    Education Level: Please select an item.
HIGH SCHOOL
School Name:
City:
State:

Major:
Number of Year's Attended:
Degree:
Minor:
 
Certification:

COLLEGE
School Name:
City:
State:

Major:
Number of Year's Attended:
Degree:
Minor:
 
Certification:

OTHER SCHOOLING/SPECIALIZED TRAINING
School Name:
City:
State:

Major:
Number of Year's Attended:
Degree:
Minor:
 
Certification:

SKILLS

COMPUTER HARDWARE AND SOFTWARE APPLICATIONS:


TECHNICAL OR OTHER JOB RELATED SKILLS:


MISCELLANEOUS

Have you ever been employed by Syndicate Sales, Inc.?
*Required.
How were you referred to Syndicate Sales, Inc.? *Required.     If Other, please identify referral:
Have you ever been convicted of a crime that has not been expunged or sealed by the court, other than a minor traffic offense (this includes no contest or guilty pleas)?

*Required.
If Yes, please explain:
NOTE: A conviction will not necessarily disqualify an individual from employment. The type of conviction and when it occurred will also be considered.
Shifts you are available to work:       1st:    2nd:    3rd:
Will you be able to work overtime if asked or required?     *Required.
Are you at least 18 years of age?     *Required
If hired, would you be able to submit proof of your legal right to work in the United States and proof of your age?     *Required
Do you have the ability to perform all functions and all necessary job assignments of the particular position for which you are applying? *Required
On what date would you be available for work?
Comments (including any gaps in employment):

REFERENCES

Please list three (3) references that you feel would best assist us in making a hiring decision. DO NOT INCLUDE RELATIVES.

Reference
Full Name:
City:
State:
Zip Code: A value is required. Invalid format.
Telephone:
Employer:
Occupation:

Reference
Full Name:
City:
State:
Zip Code: A value is required. Invalid format.
Telephone:
Employer:
Occupation:

Reference
Full Name:
City:
State:
Zip Code: A value is required. Invalid format.
Telephone:
Employer:
Occupation:

SYNDICATE SALES, INC.

NOTICE AND APPLICANTS CERTIFICATION

I hereby authorize the release of any employment data relevant to my employment application with Syndicate Sales, Inc. for the purpose of an employment investigation. I authorize a thorough investigation, and release from all liability or responsibility all persons and corporations requesting or supplying such information. Syndicate Sales requires a criminal background check on all employees upon hire once a conditional offer of employment has been made. Although a disqualification is possible, in accordance with State and Federal laws, a previous conviction does not automatically disqualify an applicant from consideration for employment. However, if an applicant attempts to withhold information or falsifies information pertaining to previous convictions, the employee will be disqualified from further employment consideration in any position within the company due to falsification of an application.

I agree to submit to any lawful drug, alcohol, or other testing that may be required as a condition of employment or continued employment and understand that refusal to promptly submit and cooperate with such testing prior to or during the course of my employment will result in disqualification from consideration for employment, or if hired, termination.

The information contained on the application is correct to the best of my knowledge. I fully understand that if employed, any misrepresentation or omission on the Application will result in dismissal, regardless of the date of discovery. I acknowledge that employment is also subject to satisfactory review of my references.

I understand that if hired I will be required to comply with all company rules and regulations. I understand the company has the right to search anything brought onto company premises including desks, lockers, handbags, briefcases, and vehicles

Neither the Application nor any statement made to me during the hiring process or thereafter shall be considered a contract of employment of any kind. I understand that, if hired, my employment will be terminable-at-will, with or without cause or notice, that I am not being employed for any specified or definite period of time, and that this application is not intended to be a contract, offer, statement or confirmation of, or for, continued employment unless such are made in writing and signed by a Vice-President of the Company. Syndicate Sales Inc. may alter, modify, amend, or terminate any of its policies and benefits at any time without notice, except as required by law.




SYNDICATE SALES INC. DOES NOT DISCRIMINATE IN HIRING OR EMPLOYMENT ON THE BASIS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, ANCESTRY, AGE, VETERAN STATUS, DISABILITY,OR OTHER PROTECTED STATUS . NO QUESTION ON THIS APPLICATION IS INTENDED TO SECURE INFORMATION TO BE USED FOR SUCH DISCRIMINATION.






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