Clone of KJH Employment Application Form Pt. 1

KJ Haul Away Full Employment Application

Thank you for your interest in joining KJ Haul Away. Based on your initial application, we would like to learn more about you.Please complete this full application thoroughly and honestly. Completion of this application does not guarantee employment.
Basic Information
Name

First NameLast Name
Birth Date

MonthDayYear
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best way to contact you?
Position You Are Applying For
Desired Employment Type
Available Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Desired Pay Range
Required Qualifications
Are you legally authorized to work in the United States?
Do you have a valid driver's license?
Do you have a valid commercial driver's license?
Do you have reliable transportation to and from work each day? (Our shop is located in Shellsburg, IA about 20 minutes outside Cedar Rapids.)
Are you able to pass a background check?
Are you able to pass a drug test?
Are you able to continuously lift and carry up to 100Lbs throughout the day?
Are you comfortable performing physically demanding work in heat, cold, rain, dusty, and dirty environments?
Work Availability
What days are you available to work?
Are you willing to occasionally work longer days when jobs run over schedule?
Are you willing to start work between 6:00AM to 08:00AM time frames?
Do you have any schedule limitations or conflicts we should know about?
Employment History

List your 3 last employers starting with your current or most recent employer.
Employer 1
Company Name
Job Title
Supervisor Name
Supervisor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of years employed?
Starting Pay
Ending Pay
Main Responsibilities
Reason for Leaving
May we contact this employer?
Employer 2
Company Name
Job Title
Supervisor Name
Supervisor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of years employed?
Starting Pay
Ending Pay
Main Responsibilities
Reason for Leaving
May we contact this employer?
Employer 3
Company Name
Job Title
Supervisor Name
Supervisor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of years employed?
Starting Pay
Ending Pay
Main Responsibilities
Reason for Leaving
May we contact this employer?
Experience and Skills
Describe your most relevant work experience for this job.
Do you have experience in any of the following?(Select all that apply)
If applicable, explain your experience with trucks, trailers, equipment, and tools relevant to this work.
Do you have a CDL?
Do you have experience working directly in customers homes, businesses, or occupied properties? If yes, explain.
Are you comfortable using smartphones or apps for routing, communication, photos, and job notes?
List any certifications, licenses, or special skills relevant to this position.
Reliability and Accountability
What does being dependable mean to you?
Have you ever been fired or asked to resign from a job?
If yes, explain.
Describe a time you had to do hard, dirty, or physically demanding work and handled it well.
Customer Service and Culture Fit
Why do you want to work for KJ Haul Away?
What does great customer service mean to you?
Why should customers trust you in their home, business, or on their property?
Leadership and Initiative
Are you interested in growing into a leadership role?
What makes someone a strong crew leader?
Driving and Safety
Have you had any moving violations, at-fault accidents, suspended licenses, or revoked licenses in the last 3 years?
If yes, explain.
What does working safely mean to you in a physically demanding job?
References

Please list 2 professional references who know you from a work place capacity.
Reference 1 Name
Relationship / Company
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Name
Relationship / Company
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Final Questions
Why should we hire you over other applicants?
Why do you want to work for KJ Haul Away?
Is there anything else you want to know?
Applicant Certification

I certify that the information I have provided in this application is true and complete to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations may disqualify me from consideration or result in termination if employed.I understand that employment may be contingent upon successful completion of a background check, drug test, driver’s license verification, driving record review, and other lawful pre-employment requirements.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How were you referred to our job posting?
Should be Empty:

KJ Haul Away Full Employment Application

Basic Information

Required Qualifications

Work Availability

Employment History

Employer 1

Employer 2

Employer 3

Experience and Skills

Reliability and Accountability

Customer Service and Culture Fit

Leadership and Initiative

Driving and Safety

References

Final Questions

Applicant Certification