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chris@wolfemoving.com

Adamstown, MD

(301) 696-9065

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Services
Employment
Moving Check List
About
Contact

We Specialize In Smooth Moves Since 1990

Employment Application

We consider applicants for all positions without regards to race, color, religion, sex, gender orientation, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.

AN EQUAL OPPORTUNITY EMPLOYER

PERSONAL INFORMATION

NAME

LAST

FIRST

MIDDLE INITIAL

ADDRESS

NUMBER & STREET

CITY

ZIP CODE

Telephone Number

Social Security Number

Email Address

Driver's License Number

State

License Expiration Date

WORK ELIGIBILITY

ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?

YES NO

ARE YOU OF LEGAL AGE TO WORK (18)?

YES NO

HAVE YOU EVER BEEN CONVICTED OF OR PLEADED GUILTY TO A FELONY?

YES NO

IF YES, PLEASE EXPLAIN:

POSITION INFORMATION

POSITION(S) APPLIED FOR

WAGE DESIRED

DATE AVAILABLE FOR WORK

POSITION INTEREST:

Regular

Temporary

Full Time

Part Time

REFERRAL SOURCE:

Advertisement

Referral

Website

Job Searching Firm

EDUCATION

HIGH SCHOOL

NAME AND ADDRESS:

COURSE OF STUDY:

LAST YEAR COMPLETED:

9 10 11 12

DID YOU GRADUATE?

YES NO

LIST DIPLOMA OR DEGREE:

COLLEGE / UNIVERSITY

NAME AND ADDRESS:

LAST YEAR COMPLETED:

1 2 3 4

DID YOU GRADUATE?

YES NO

LIST DIPLOMA OR DEGREE:

OTHER

NAME AND ADDRESS:

COURSE OF STUDY:

LAST YEAR COMPLETED:

1 2 3 4

LAST YEAR COMPLETED:

1 2 3 4

DID YOU GRADUATE?

YES NO

LIST DIPLOMA OR DEGREE:

ARE THERE ANY OTHER EXPERIENCES, SKILLS, OR QUALIFICATIONS THAT WILL BE OF SPECIAL BENEFIT IN THE JOB FOR WHICH YOU ARE APPLYING (INCLUDE COURSES, TRAINING, PROFESSIONAL LICENSES, ETC.)

EMPLOYMENT HISTORY (BEGIN WITH YOUR CURRENT OR MOST RECENT JOB & ACCOUNT FOR ALL TIME IN THE LAST TEN YEARS)

(1) EMPLOYER

ADDRESS

JOB TITLE

TELEPHONE NUMBER

SUPERVISOR NAME

SUPERVISOR TELEPHONE

DUTIES PERFORMED:

DATES EMPLOYED: FROM

TO

WAGE: START

END

REASON FOR LEAVING

(2) EMPLOYER

ADDRESS

JOB TITLE

TELEPHONE NUMBER

SUPERVISOR NAME

SUPERVISOR TELEPHONE

DUTIES PERFORMED:

DATES EMPLOYED: FROM

TO

WAGE: START

END

REASON FOR LEAVING

(3) EMPLOYER

ADDRESS

JOB TITLE

TELEPHONE NUMBER

SUPERVISOR NAME

SUPERVISOR TELEPHONE

DUTIES PERFORMED:

DATES EMPLOYED: FROM

TO

WAGE: START

END

REASON FOR LEAVING

MAY WE CONTACT YOUR CURRENT OR MOST RECENT EMPLOYER AT THIS TIME?

YES NO

PLEASE ACCOUNT FOR ALL PERIODS OF UNEMPLOYMENT DURING THE LAST TEN YEARS, INCLUDING DATES AND REASONS. EXCLUDE PERIODS OF UNEMPLOYMENT DUE TO DISABILITY.

PROFESSIONAL REFERENCES

LIST THE NAMES OF THREE PERSONS, NOT RELATED TO YOU, EXCLUDING PREVIOUS EMPLOYERS, WHO ARE FAMILIAR WITH YOUR WORK PERFORMANCE.

REFERENCE #1

NAME

ADDRESS

TELEPHONE

YEARS KNOWN

REFERENCE #2

NAME

ADDRESS

TELEPHONE

YEARS KNOWN

REFERENCE #3

NAME

ADDRESS

TELEPHONE

YEARS KNOWN

OTHER SKILLS / ACTIVITIES

FOREIGN LANGUAGE PROFICIENCY

OTHER

MILITARY SERVICE

BRANCH OF U.S. MILITARY SERVICE

DATES OF ACTIVE SERVICE

RANK AT TIME OF ENTRY

RANK AT TIME OF SEPARATION

HONORABLE DISCHARGE? (This will not impact your employment)

YES NO

LIST ANY JOB-RELATED SKILLS GAINED FROM YOUR MILITARY EXPERIENCE.

PLEASE READ CAREFULLY AND SIGN

I certify that the information contained in the application and/or any supplement thereto, is correct to the best of my knowledge and understand that any intentional misstatement or omission of information is grounds for discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing the same to you. In consideration of my employment, I agree to conform to the applicable policies and rules of Wolfe Moving Systems, Inc.

Signature

Date

I AM AWARE THAT:

Under Maryland law, and employer may not require or demand any applicant for employment or prospective employment or any employee to submit to or take a polygraph, lie detector, or similar test or examination as a condition of employment or continued employment. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not to exceed $100.

Signature

Date

OUR OFFICE

Adamstown, MD

CALL

Phone: (301) 696-9065

EMAIL

chris@wolfemoving.com

Our Services

Local Moving
Long-Distance Moving
Estate Downsizing and Liquidations
Packing
Logistics

Contact

Wolfe Moving Systems, Inc.
(301) 696-9065
Adamstown, MD

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