Warehouse Jobs - Online Application for Employment

Warehouse Jobs – Online Application – We are an Equal Opportunity Employer

Elite HR Logistics is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, creed, religion, ancestry, age, gender, marital status, sexual orientation, national origin, disability or handicap, or veteran status. We comply with all Federal, State and Local Laws concerning discrimination in employment.

We ask for you to complete your last 3 Job information’s and you may attach any extra Job info or Resume at the end of the form. So please have all your info ready when you start filling out your application. Thank you!

Warehouse Job App Online - 1 Page - EliteHR Logistics

Warehouse Job App Online

Required entry fields are followed by * meaning you must provide the requested information to continue. If you encounter any errors during this process and cannot continue, please contact us at 1.800.892.3250.
Name*
First Middle Last
Nick Name / Maiden Name or other names you have used:
Todays Date:*
MM slash DD slash YYYY
Social Security #:*
Date of Birth*
MM slash DD slash YYYY
Street Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address
If Different Street Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Cell Phone:
Cell Provider:
Email*
Emergency Contact:*
Name / Relationship / Contact Number
Have you ever been employed by Elite HR Logistics before?
- Yes
- No
If Yes, please give date and positions
Can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country?*
- Yes
- No
Are you Telephone accessible?
- Yes
- No
Are you willing to take a drug screen according to our policy?*
- Yes
- No
Will you release our background information inclusive of criminal records?
- Yes
- No
What areas are you willing to work?
ACKNOWLEDGEMENT OF AVAILABLE MODIFIED DUTY
ACKNOWLEDGEMENT OF AVAILABLE MODIFIED DUTY*
Elite HR Logistics desires to provide our injured employees with the most expedient and quality medical care for their work related injuries. Elite HR Logistics has developed a modified duty program that will allow our injured workers to return to work on a modified duty status by making accomodations for any work restrictions as outlined by a company authorized physician.
- I have read and acknowledge.
AVAILABILITY
How were you referred to our company?
Date you are available for work:
MM slash DD slash YYYY
Salary Rate: MINIMUM / HR
Salary Rate: DESIRED / HR
Type of Employment Accepted:
Choose any / all that apply.
- Full Time
- Part-Time
- Temporary
- Temp to Hire
- Direct Hire
- On-Call
Times
Please include Beginning to end Time (ie: 7AM-7PM) or All if you are available all day.
Mon Tues Wed Thurs Fri Sat Sun
WORK EXPERIENCE
List all current and previous employment for a minimum of FIVE (5) YEARS beginning with your most recent employer. Account for all periods of unemployment. Include Military service and any volunteer service that is relevant to the position for which you are applying. Do NOT mark "See Resume". You may attach a Resume at the end of this form, but please fill this form out first.
Are you currently employed?
- Yes
- No
If "Yes", May we Contact your current employer?
- Yes
- No

PREVIOUS EMPLOYER INFORMATION*

Employer:	Contact Information:	From:	To:	Job Title:

(Enter the last ten (10) years of your job history. Click on the + icon to add more rows of Previous Employer Info.)

Are you able to perform the essential functions of the job for which you are applying, either or without reasonable accommodation?
- Yes
- No
If "No", Describe the functions that cannot be performed.
Do you have any relatives employed with this company?
- Yes
- No
If "Yes", please list their names and positions:
Have you submitted an application with Elite HR Logistics before?
- Yes
- No
Have you ever been bonded?
- Yes
- No
If Yes, Where?
Have you ever had Security clearance?
- Yes
- No
If Yes, at what level?
Have you obtained any special skills as a result of service in the military?
- Yes
- No
If Yes, please describe?
Do yo have any other special skills or qualifications which you feel would make you suited for work?
Example: Certified Forklift Operation, Machinist, Welder, Assembly, or Warehouse etc.
- Yes
- No
If Yes, Please describe:
Do you have a license or certificate for a particular skill?
- Yes
- No
If Yes, issuing state?
Certified in:
License or Certification #:

Have you ever worked as a temporary employee?

Company assigned to:	Temp Agency:

to add additional jobs use the + for additional fields.

EDUCATIONAL BACKGROUND:
Give record of all High Schools, Colleges, Universities, Trade or Vocational Schools you have attended.
High School
Name And Location
Number of Years:
Please enter a number from 1 to 8.
Major Subject or Course
Degree Or Certificate?
College
Name And Location
Number of Years: (College)
Please enter a number from 1 to 8.
Major Subject or Course (College)
Degree Or Certificate? (College)
Other School
Name And Location
Number of Years: (Other School)
Please enter a number from 1 to 8.
Major Subject or Course (Other School)
Degree Or Certificate? (Other School)
Other School #2
Name And Location
Number of Years: (Other School #2)
Please enter a number from 1 to 8.
Major Subject or Course (Other School #2)
Degree Or Certificate? (Other School #2)
REFERENCES:
List the three persona not related to you who have knowledge of your work performance within the last three years.
Name
First Last
Occupation:
Number of Years Known:
Please enter a number from 1 to 50.
Phone
Name (person 2)
First Last
Occupation: (person 2)
Number of Years Known: (person 2)
Please enter a number from 1 to 50.
Phone (person 2)
Name (person 3)
First Last
Occupation: (person 3)
Number of Years Known: (person 3)
Please enter a number from 1 to 50.
Phone (person 3)
YOUR RESUME:
Attach your resume below:
Max. file size: 64 MB.
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Warehouse Job App Online - 1 Page - EliteHR Logistics

ACKNOWLEDGEMENT OF AVAILABLE MODIFIED DUTY

AVAILABILITY

EDUCATIONAL BACKGROUND:

REFERENCES:

YOUR RESUME: