Flower City Moving
Driver/Mover Application
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Availability & Work Preferences:
Available start date:
*
/
Month
/
Day
Year
Date
What days are you available to work?
*
Mon
Tue
Wed
Thur
Fri
Sat
Sun
Do you have any schedule restrictions or time limitations?
*
Yes
No
If yes, please explain:
Have you worked as a mover or driver before?
*
Yes
No
If yes, please explain:
Experience driving box truck etc.
Driver & Mover Details:
Do you have a valid driver's license?
*
Yes
No
Do you have a clean driving record?
*
Yes
No
Do you have a reliable means of transportation?
*
Yes
No
Can you lift over 75lbs repeatedly?
*
Yes
No
BACKGROUND INFORMATION
Are you legally eligible to work in the U.S.?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain:
(Conviction does not automatically disqualify you):
INDEPENDENT CONTRACTOR ACKNOWLEDGEMENT
*
I understand that I am applying as an Independent Contractor, not as an employee.
I am responsible for my own taxes, insurance, tools, and transportation.
I understand that work is not guaranteed and is based on availability.
I certify that the information provided above is true and complete to the best of my knowledge.
Upload Driver License:
*
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