SEATTLE MOVES & MORE
2400 NW 80th St, Ste 237
Seattle, WA 98117
info@seattlemovesandmore.com
www.seattlemovesandmore.com
(206) 972-6683
JOB APPLICATION
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Position Applied for:
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Mover
Packer
Driver/Lead Mover
Rate of Pay you desire (Per Hour):
Date you can start
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Full Name (as it appears on your bank account)
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First Name
Middle Name
Last Name
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Confidential Information (Optional)
If you are not comfortable providing the information in this section now, please select "will provide upon hire".
Will provide upon hire
Social Security Number
Driver's License or I.D. Number
Driver's License or I.D. Expiration Date
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Emergency Contact Name
Emergency Contact Phone Number
Direct Deposit Information (Optional)
Pay Day is Friday every week. You do not need to submit this information now, but if you are hired, it will speed up the process to input you into our payroll system.
If you are not comfortable providing the information in this section now, please select "will provide upon hire".
Will provide upon hire
Bank Name
Routing Number
Account Number
Type of Account
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Checking
Savings
Does the address where your bank statements are mailed match the address where you live?
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Tax Questions (Required)
Tax Filing Status
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Single
Married (Joint)
Married Filing Separately
Domestic Partnership (is same as a Joint Filing)
How many dependents will you claim on your taxes?
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Please Select
0 Dependents = I don't want to risk owing any tax at the end of the year.
1 Dependent = I will claim one for myself, as I am the Head of Household; or, I am single; or, I am married but my spouse does not work; or, I have 1 child.
2 Dependents.
3 Dependents.
4 Dependents
Line items in this question are not to be construed as Tax Advice.
Are you a U.S. Citizen?
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Yes
No
No, but I have a Green Card, Visa, or other Federally Approved Work Permit
OPTIONAL: Enter the dollar amount you want us to withhold from your taxes for Federal Tax Withholding, in addition to any other applicable taxes. You can use the free online W4 tax estimator on the IRS website at: https://www.irs.gov/individuals/tax-withholding-estimator (<-- Copy this link and paste it into a separate tab in your browser). Once you have finished the tax estimator, enter your results here: (Example: The tax estimator says you should withhold $XX per week from your paycheck. Enter that dollar amount below.)
Remember: The dollar amount you enter here will be withheld from each paycheck in addition to any other applicable taxes.
OPTIONAL: The free online W4 tax estimator allows you to download a pre-filled W4 form at the end. If you want, you can upload it here.
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The free online tax estimator is located at: https://www.irs.gov/individuals/tax-withholding-estimator
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TAX DISCLAIMER: Seattle Moves & More does not give tax advice, and any information given on this form is not to be construed as tax advice. For any tax related questions, you should consult the IRS directly or ask a certified tax professional. Please acknowledge that you have read and understand this statement.
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Yes, I understand.
No, I do not understand.
Personal Questions
Your answers to these questions are confidential and do not determine your employment eligibility. Feel free to answer honestly and be as transparent as you wish.
Where did you go to High School?
Where did you go to College?
Your Current Status (Select all that apply):
I'm a Part-Time student.
I'm a Full-Time student.
I have another part-time job.
I'm currently working full-time.
I'm unemployed and looking for work.
I'm only available on weekends.
Where do you currently work?
Why do you want to leave? (You can also write: "I'm not leaving - I want an additional job" or anything you want:
Where did you last work?
Why did you leave?
List the names of any moving companies you've worked for in the past:
Tell us why you'd like to work with us in the packing & moving business:
What best describes you? (Select all that apply)
I'm small, but I'm strong.
I'm a big tall strong person with muscles (built like a football player)!
I'm athletic, strong, and I can lift well.
I might look like your average person, but I'm motivated and like to work hard.
I'm interested in joining your team of packing professionals.
I go to the gym a lot, but they don't pay me to work out. I'd rather move boxes & furniture, and be paid for my physical efforts.
I might not be the strongest person on the crew, but I can handle moving or packing work, and I can last the whole day.
I'm fast, and people like working with me.
I'm an average person who can do the work.
Tell us about any experience you've had with moving (Select all that apply):
I've moved myself plenty of times, and I've learned a lot from it.
I've moved my friends, and I enjoyed helping them.
I worked for a moving company in the past.
I've never worked for a moving company, but I'm sure I can do the work.
I have never moved boxes & furniture before, but I'm willing to learn.
I've moved people, driven a box truck, and I know how to properly load a truck for moving.
Do you give consent for the company to do a background check?
Yes
No
Do you have any physical limitations, disability or medical condition that would prevent you from lifting 25 - 50 lbs, with or without another crew member?
Yes
No
Washington State DOT Required Question: Have you ever failed or refused a drug or alcohol test within the past three years?
Yes
No
I prefer not to answer
Have you ever been convicted of a Felony?
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No
If you answered yes above, and would like to explain, please comment here:
List any days you can not work:
Enter the date you last had a tetanus shot, if known:
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