Polstar Job Application Form

Polstar.us Job Application

Please complete the form below to apply for a position with us.
Which job are you applying for?*

Location? (City)Position?Daytime or Evening?
Available Start Date*

MonthDayYear
Date
How long do you intend to stay in this job?*
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Social Security Number:
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Are you legally authorized to work in US?*

YESNO
Are you employed now?*

YESNO
Work history. (Please list current and past jobs - include months or years worked) *
Professional reference #1 (Not from family or friends)*

NameTelephone Nr. Years known
Professional reference #2 (Not from family or friends)

NameTelephone Nr. Years known
Do you have a valid driver license?*

YESNO
Do you have reliable transportation?*

YESNO
Please list any criminal record (NOT TRAFFIC) *
Type NONE if you have no criminal record. (Polstar conducts a background check on all new employees.
How did you hear about this job?*
Preference is given to applicants who tell us why this particular position is a good fit for them. Tell us why this specific job works for you.
Approximate distance from your home to the advertised job location?*

0-5 miles5-10 miles10-15 miles20 miles plus
If you have a resume available please upload it here.

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Polstar.us Job Application