PREPD Employment Application

Prep'd Tulsa

4926 W Kenosha St. Broken Arrow OK 74012

(918) 615-2698
PREPD Employment Application
Name*
First Last
Address*
Street Apt/ Suite
City*
State*
Zip Code*
Phone*
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Date Available*

MonthDayYear
Date
Position Applied For*

Delivery/ Transport DriverCustomer Service Rep
How many hours are you wanting to work?*
Employment Eligibility
Are you a U.S. Citizen?*

YESNO
If no, are you allowed to work in the U.S.?

YESNO
Have you ever worked for this employer?*

YESNO
Have you ever been convicted of a felony?*

YESNO
If yes, please explain.
Do you have reliable transportation?*

YESNO
If applying for Driver Position, do you have a valid driver license?

YESNO
Education

	School Name	Degree	Address/City/State
High School
Other
Other

Please list any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc)
Previous Employment

Please list the last 3 places of employments, beginning with your present or most recent employment and work back. Include paid and unpaid positions. If you have no employment history write N/A

	Company	Position	Start Date	End Date	Reason For Leaving
1
2
3

Availability

Below is a list of our store hours by day of the week. Please answer Available if you have no scheduling conflicts. Please specify if you are unable to work on a certain day/time. If applying for driver position, please check that you are available during driver shifts. Please note Rotating Weekend Availability is Mandatory.
Monday: 7am-7pm*
Tuesday: 7am-7pm*
Wednesday: 7am-7pm *
*Transport Driver Hours are 10am-5pm
Thursday: 7am-7pm*
Friday: 7am-7pm*
Saturday: 10am-5pm *Rotating Saturdays Mandatory*
Sunday: 1pm-7pm *Rotating Sundays Mandatory*
*Transport Driver Hours are 10am-5pm
Will you be gone/unavailable any day(s) in the next month that you know of and need to plan for?*
Are you involved in any activities/clubs/sports/other jobs that may affect your availability? Please specify if so.
I certify that the facts set forth in this application for Employment are true and I

completed it to the best of my knowledge. I understand that if I am employed, false

statements, omissions, or misrepresentations may result in my dismissal. I authorize

the Employer, Prep'd Inc. to make an investigation of any of the facts set forth in this application and release the Employer from any liability.

I acknowledge and understand that the company is an "at will" employer. Therefore, any employee (regular, temporary, or other type of employee) may resign at any time, just as the employer may terminate the employment relationship at any time, with or without cause, with or without notice to the other party.
Applicant Signature*
Date*

MonthDayYear
Date
Should be Empty:

PREPD Employment Application

Employment Eligibility

Education

Previous Employment

Availability