Employment Application Pyramid Logistics Services, Inc is an Equal Opportunity Employer that promotes a Drug-Free WorkplacePERSONAL DETAIL OF APPLICANTName Address City State Zip code Home Phone Alternative Phone Contact Social Security Number In case of emergency, who may we contact? Phone Number of your emergency Contact person What pay rate do you Expect? $ Would you be available to work overtime, if necessary ? YesNoWeekends? YesNoWhat shifts are you willing to work ? DaySwingNightWhich Shift would you prefer for work ? If hired, can you submit verification of your identity and your legal right to work in the U.S. ? YesNoEducation, Training and ExperienceHigh SchoolName and Address No. of Years Completed Did you Graduate? YesNoDegree or Diploma CollegeName and Address No. of Years Completed Did you Graduate? YesNoDegree or Diploma Trade / VocationalName and Address No. of Years Completed Did you Graduate? YesYesDegree or Diploma Graduate SchoolName and Address No. of Years Completed Did you Graduate? YesNoDegree or Diploma Do you have any other special skills or qualifications ? Do you Type ? YesNoTyping Speed (WPM)Shorthand ? YesNoShorthand Speed (WPM)Dictaphone ? YesNoIf you are licensed or certified for a particular skill, what is the nature of the license ? Issuing state of License or certification License or certification number Has your license ever been revoked or suspended? YesNoif "Yes" , please explain why REFERENCES List below three ( 3 ) persons not related to you who have knowledge of your work performance within the last three ( 3 ) years. FIRST PERSON DETAIL BELOW Name Address City State Occupation / Relationship Telephone Number Number of Years Acquainted 2nd PERSON DETAIL BELOW Name Address City State Occupation / Relationship Telephone Number Number of Years Acquainted 3rd PERSON DETAIL BELOW Name Address City State Occupation / Relationship Telephone Number Number of Years Acquainted Additional Questions Have you ever applied to or worked for Pyramid Logistics Services, inc. before ? YesNoif "Yes", When How did you hear about Pyramid Logistics Services, inc. ? NewspaperPhone bookFriendDo you have any friends or relatives working for Pyramid Logistics Services, inc. ? YesNoif "Yes" , state their names(s) and relationship If hired, do you have a reliable means of transportation to and from work ? YesNoAre you at least 18 years old ? ( if under 18, hire is subject to verification that you are of minimum legal age )YesNoAre you able to perform the essential functions of the job(s) for which you are applying and qualified ? YesNoif 'No' describe the functions that cannot be performed ( Note: We comply with the ADA and will consider reasonable accommodation measures that may be necessary for applicant/employees to perfir essebtial functions.)Are you able to perform all other duties of the job for which you are applying YesNoif 'No' describe the functions that cannot be performed ( Note: some hires may be subject to passing a medical examination and skill & agility tests ) Employment history Employer 1 Name of Employer Address City State Zip Code Type of Business Your Job Title Job Duties /Responsibilities Telephone Number Your supervisor's Name/Title Can we contact your employer ? YesNoDate Employed From Date Employed To Reason for leaving Employer 2 Name of Employer Address City State Zip Code Type of Business Your Job Title Job Duties /Responsibilities Telephone Number Your supervisor's Name/Title Can we contact your employer ? YesNoDate Employed From Date Employed To Reason for leaving Employer 3 Name of Employer Address City State Zip Code Type of Business Your Job Title Job Duties /Responsibilities Telephone Number Your supervisor's Name/Title Can we contact your employer ? YesNoDate Employed From Date Employed To Reason for leaving Employer 4 Name of Employer Address City State Zip Code Type of Business Your Job Title Job Duties /Responsibilities Telephone Number Your supervisor's Name/Title Can we contact your employer ? YesNoDate Employed From Date Employed To Reason for leaving Have you obtained any special skills as a result of service in the military YesNoif so, please describe What office equipment have you used ? Do you speak , write or understand any foreign languages ? YesNoif "yes" which language(s) ? Please read each carefully, initial each paragraph and Accept itAccepted *I hereby certify that i have not knowingly withheld any information that may adversely effect my chances for employment and that answer gives by me are true and correct to the best of my knowledge. I further cerify that i, the undersigned applicant,have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immeddiate discharge if i am employed, regardless or the time elapsed before discovery.Accepted *I hereby authorize Pyramid Logistics Services, inc. to thoroughly investigare my references, work record, education and other matters related to my suitability for employment and further, authorize the refrences i have listed to disclose to Pyramid Logistics Services, inc. any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, i hereby release Pyramid Logistics Services, Inc., my former employers and all other persons, corporations, partnership and associations from any and all claims, demands or liabilities arising out of or in any way ralated to such investigation or disclosure.Accepted *I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired is intended to create an employment contract between Pyramid Logistics Services, inc. and me , In addition, i understand and agree that if i am employed , my employment at Pyramid Logistics Services, Inc. is EMPLOYMENT-AT-WILL. Employment may be terminated with or without cause, with or without notice, at any time by the employee or Pyramid Logistics Services, Inc. No manager, supervisor or employee of Pyramid Logistics Services, inc. has any authority to enter into any agreement for employment other than employment-at-will. 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