Customer Service Warehouse 1St

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EMPLOYMENT APPLICATION

(AN EQUAL OPPORTUNITY EMPLOYER) FROM TO EMPLOYER PHONE

JOB TITLE ADDRESS

IMMEDIATE SUPERVISOR AND TITLE SUMMARIZE THE NATURE OF THE WORK AND RESPONSIBILITIES REASON FOR LEAVING CURRENT SALARY PER

BONUS/OTHER COMPENSATION FROM TO EMPLOYER PHONE

JOB TITLE ADDRESS

IMMEDIATE SUPERVISOR AND TITLE SUMMARIZE THE NATURE OF THE WORK AND RESPONSIBILITIES REASON FOR LEAVING ENDING SALARY PER

BONUS/OTHER COMPENSATION

EMPLOYMENT HISTORY PROVIDE THE FOLLOWING INFORMATION FOR YOUR PAST 3 EMPLOYERS, ASSIGNMENTS OR VOLUNTEER ACTIVITIES, STARTING WITH THE MOST RECENT: POSITION(S) APPLIED FOR DATE OF APPLICATION

NAME

LAST FIRST MIDDLE

ADDRESS

STREET CITY STATE ZIP CODE

EMAIL ADDRESS

PHONE ALTERNATE PHONE DATE AVAILABLE TO WORK / /

DO YOU NOW OR IN THE FUTURE REQUIRE SPONSORSHIP FOR EMPLOYMENT VISA STATUS? YES NO HAVE YOU APPLIED/INTERVIEWED WITH U LINE IN THE LAST 6 MONTHS? YES NO TYPE OF EMPLOYMENT DESIRED FULL TIME PART TIME SEASONAL INTERNSHIP CUSTOMER SERVICE WAREHOUSE 1ST SHIFT 2ND SHIFT

PERSONAL

NAME AND LOCATION YEARS COMPLETED DID YOU GRADUATE? COURSE OF STUDY HIGH

SCHOOL

COLLEGE/

UNIVERSITY

OTHER

SPECIAL SKILLS:

EMPLOYMENT HISTORY CONTINUED

EDUCATIONAL BACKGROUND

©2024 Uline

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Uline collects the following categories of personal information to contact you and evaluate your application for employment: Name and Address; Email Address; Phone Number; Occupation and Education.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer's service, whenever it is discovered. I give the employer the right to contact and obtain information from all references, employers, educational institutions, and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information. If I am hired, I understand that I am free to resign at any time with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute a contract for employment for any specified period. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer. I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

I understand that if I am hired, I will be required to provide proof of identity and legal work authorization. SIGNATURE OF APPLICANT: DATE:

HOW DID YOU LEARN ABOUT THIS POSITION?

WERE YOU REFERRED BY A CURRENT U LINE EMPLOYEE? (IF YES, PLEASE PROVIDE NAME) FROM TO EMPLOYER PHONE

JOB TITLE ADDRESS

IMMEDIATE SUPERVISOR AND TITLE SUMMARIZE THE NATURE OF THE WORK AND RESPONSIBILITIES REASON FOR LEAVING ENDING SALARY PER

BONUS/OTHER COMPENSATION

As an applicant desiring employment with Uline Shipping Supplies, you are required to read and sign this form. Failure to sign will result in your being barred from further consideration for employment with this company. Drug Testing Policy

Uline is firmly committed to maintaining a drug-free workplace and has a responsibility to provide a safe work environment for employees and prevent injuries to the general public. Therefore, reporting to work under the influence of or working while impaired by alcohol, drugs, or prescribed or unprescribed substances is strictly prohibited. This Policy may not apply to medication properly taken as prescribed by a licensed physician, with certain exceptions.

Uline prohibits the use, sale, purchase, distribution, transfer, possession, manufacture or presence in one's system of any illicit substances, with certain exceptions, as noted above. Consistent with our objective to maintain a drug-free workplace, we require all applicants accepted for employment to satisfactorily pass a drug test as part of our application process. Moreover, if hired by Uline, you may be required, from time to time, to submit to drug and alcohol screening tests to determine compliance with the company's policy to provide a drug-free workplace. Cooperation in submitting to such tests is a condition of employment, and failure or refusal to cooperate with testing procedures will be grounds for termination. Please read the following information carefully.

Applicant:

My signature below indicates that I have read and understand the drug-free workplace policy and testing requirements. I consent to drug testing as a condition for employment, and, if employed, as a condition of continued employment. Further, I authorize the drug testing agency to provide the results of such tests to the company. I understand that the results of such tests will remain the property of Uline, and will not be used for any unauthorized purpose. I further agree to hold the testing laboratory, testing agency and/or Uline, its agents, directors, officers and employees harmless from any and all liability in connection with such tests, test results, and any adverse employment action from the release or use of such information. I further understand that all employment with the company is at-will and that nothing in this consent constitutes a guarantee of or creates a contract of employment. 2306

I refuse to give my consent, and I refuse to be tested. I understand this means I am barred from further consideration for employment with Uline Shipping Supplies.

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CONSENT AND RELEASE FORM

Applicant Signature Date Print Name

Applicant Signature Date Print Name

Contact this candidate