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Beemac Logistics

295 3rd Street
Suite 210
Beaver, PA 15009


APPLICATION FOR EMPLOYMENT


******* In compliance with Federal and State Equal Employment Opportunity laws, qualified applicants are consideredfor all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-related job disability*******
Date of Application
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Position Applying For
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Nameyour full name
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Nameyour full name
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Salary Desired
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What date are you available to start?
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Employment Desired
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First name
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Middle name
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Last name
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Home Phone
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Mobile Phone
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Address
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Zip Code
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How long at this address?
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Previous Address

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How long at this address?
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Have you worked for this company before?
If yes, where?
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Dates you worked here.

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Rate of Pay
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Reason for Leaving
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Who referred you?
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Is there any reason you might be unable to perform the functions of the job for which you have applied?
Please explain
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EMPLOYMENT HISTORY

(please provide the last 5 years, starting with most recent)

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Reason for Leaving
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Employment Dates

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Position Held
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Employment Dates

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Employment Dates

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EDUCATION

High School

Type of School
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Name of School
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Location
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Years Completed
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Degree
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College

Type of School
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Name of School
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Major / Degree
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Business or Trade School

Type of School
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Professional School

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Name of School
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Years Completed
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Major / Degree
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Do you have driver's license?
List your means of getting to work
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Driver's License #
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State of Issue
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Check Type
Expiration Date
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Have you had any accidents during the past 3 years?
How many?
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Have you had any moving violations during the past 3 years?
How many?
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Do you have a legal right to work in the United States?
Have you ever been convicted of a crime?
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation:
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________________________________________________

Please list any skills you may have that relates to the position you are seeking with our company:
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By checkmarking the box below, you indicate that all of the information contained in this application is true and correct to the best of my knowledge.
Today's Date
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General Release


In connection with my preliminary application for employment with Beemac Logistics LLC, Iunderstand that a report, which may contain public record information, is being requested from various sources.This report may include the following types of information: names and dates and previous employment, reasons for termination, controlled substance testing, work experience, my driving record, credit, bankruptcy proceedings, etc. from federal, state and other agencies which maintain such records, as well as information concerning previous claims involving me.


I hereby authorize, without reservation, any party or agency contracted by Beemac Logistics ServicesLLC., or its authorized representatives to furnish the above mentioned information without fear of reprisal,accordingly those furnishing such information are hereby released from any and all liability, which result from furnishing such information. I have a right to make a request, upon proper identification, the nature and substance of all information from Beemac Logistics, LLC., at the time of my request and sources of information. I hereby authorize Beemac Logistics LLC., to obtain the above information.



Your Full Name
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Today's Date
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Last 4 of Social Security #
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Statement of Policy


I have read a copy of the Beemac Logistics LLC., policy manual which outlines the policies and practices of the company, and I have read and understand the information contained in the manual. I have been given an opportunity to ask questions regarding all of the information in the manual.


Since the information in the manual is necessarily subject to change as situations warrant, it is understood that changes in the manual may supersede, revise, or eliminate one or more of the policies in this manual. These changes will be communicated to me by my supervisor or through official notices. I accept full responsibility for keeping informed of these changes.


I understand that the manual does not constitute an employment contract for a guarantee of any fixed terms and conditions of employment.  

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