Name
Your email
Address
Phone No
Are you United States Citizen or work visa? United States CitizenWork Visa
Years of Experience of Moving or Removing Heavy Items
Any Felonies?______ If yes, please explain YesNo
Explain
Do you have a current drivers license and reliable transportation? YesNo
What makes you a great candidate for this position?
Availability (Please circle) MondayTuesdayWednesdayThursdayFriday
Are you looking for full or part time work? Full timePart time
Previous jobs, please list three most recent and why you left.
Do you have any previous injuries that would hinder your ability to lift 50+ pounds or climb stairs? YesNo
Are you on any medication that would interfere with your ability to work? YesNo
List two professional references that are not related to you with their contact number:
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