Delivery Route Helper - Full Time

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Personal Information
Full Legal Name*
First Middle Last
Phone Number*
Alt. Phone Number*
Best time to call
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email Address*
Are you legally eligible for employment in this country?*
- Yes
- No
Are you on a layoff and subject to recall?*
- Yes
- No
Are you seeking a permanent position?*
- Yes
- No
Are you active Military/National Guard, subject to deployment?*
- Yes
- No
Are you able to perform the essential functions of the position without reasonable accomodations?*
- Yes
- No
If Necessary for the job, I am able to:
Work overtime if required?*
- Yes
- No
Pass a pre-employment drug screening?*
- Yes
- No
Provide a valid Vermont drivers License?*
- Yes
- No
If yes, is this a Commercial Drivers License?*
- Yes
- No
Position
Position You Are Applying For*
Desired Department*
Available Start Date*
MM slash DD slash YYYY
Desired Pay*
Employment Desired*
- Full Time
- Part Time
- Seasonal / Temporary
Education
Schools Attended*
School Name Location Years Attended Degree Received Major
References
References*
Name Title Company Phone
Employment History
Previous Employers*
Employer Name Job Title Dates Employed Work Phone Address
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Type of Job
Comments
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Resume
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Signature
Signature Disclaimer*
- I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Name*
Date*
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