Information Administrative

APPLICATION FORM

Please complete all sections of the application form as the information provided on this form will be used as part of the selection process.

PERSONAL DETAILS:

First Name: Last Name:James

Gender: Male Female Phone Number:

Date of birth: Mobile Number:

Address (street,

apt.#, city, state, zip

code):

Email:

MISCELLANEOUS: The personal details you provide will be used for administrative purposes. These details will not be disclosed to the third parties without specific authorization from you. Residence: US Resident Permanent Resident Other

Full-time Part-time Temporary

Days available to work: Monday Tuesday Wednesday Thursday Friday Saturday Do you have a valid drivers’ license? Yes No

Do you have a printer? Yes No

Are you available to receive 80 packages monthly? Yes No Are you available to ship packages within 24 hours? Yes No REFERENCES:

1 Most recent/current employer 2 Relationship: 3 Relationship: Name: Name: Name:

Address: Address: Address:

Phone number: Phone number: Phone number:

Fax: Fax: Fax:

Email: Email: Email:

I certify that the above information (and any further information enclosed) is correct and I agree that the Employer may take reasonable steps to verify this information (e.g. by obtaining proof of qualifications). I agree to the Employer processing and retaining the personal information contained on this form for any purposes connected with my application. Signature Date We are an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, colour, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment depends solely on your qualifications.

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