Warehouse Associate Driver

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PERSONAL INFORMATION

Full Legal Name:

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Current Address:

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POSITION

Position Applied for:

Date Available:

Desired Salary:

How did you hear about this position?

Are you available for Overtime?

Are you at least 18 years of age? If no, please indicate your age for child labor purposes:

Have you ever worked for Winston or a subsidiary? If yes, when?

Do you have friends or relatives who work for Winston? Please list:

Are there any days or shifts you are unavailable? Please list:

Are you legally authorized to work in the United States?

Have you ever been convicted of a felony? Please explain:

EDUCATION

High School:

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College:

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ADDITIONAL SKILLS, QUALIFICATIONS OR LICENSES

EMPLOYMENT HISTORY

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Reason for Leaving:

Responsibilities:

Employer:

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Employer:

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Employer:

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SIGNATURE

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.

Signature:

Date:

BACKGROUND CHECK AUTHORIZATION (optional)

Certain positions require a DOT background check before an offer of employment can be made. If you are applying for one of those positions, filling out this information now can save time. This section is optional and a decision to move forward in the process will not be dependent upon it’s completion.

Social Security Number:

Date of Birth:

Driver’s License #:

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Expiration:

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