L o a d i n g . . . Employment Application Outwest Express LLC Application for Employment Outwest Express LLC is an equal opportunity employer. Outwest Express does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law. Personal Information Please complete all fields. Name: * Date: * Address: * City: * State: * Zip Code: * E-mail Address: * Home Phone #: * Mobile Phone #: * Are you eligible to work in the U.S.? * Yes No Are you at least 18 years or older? (If no, you may be required to provide authorization to work.) * Yes No Can you work any shift? * Yes No If no, explain: * Can you work overtime, including weekends? * Yes No Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? * Yes No Employment Desired Date you can start: * Hourly rate/Salary desired: * Position desired: * Are you currently employed? * Yes No If yes, may we inquire of your present employer? * Yes No Referral Source How did you hear about us? * Walk In Advertisement Referral Other Have you ever worked for this company before? * Yes No If yes, explain: * Do you know anyone who works for our company? * Yes No If yes, who? * Education Name and location of school Degree Received Subjects studied/Major High School College or University Trade, Business or Correspondence School Employment History Share your last employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration. * Upload a resume Fill out employment history form Allowed file types: PDF or Word Doc Add Employer From To Employer Name Telephone Job Title Address Immediate supervisor and title Summarize the nature of work performed and job responsibilities Reason for leaving References Give the names of three persons not related to you, whom you have known at least three (3) years. Name Address, Phone, Email Company Years Acquainted Please read carefully before signing. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Outwest Express to hire me. If I am hired, I understand that either Outwest Express or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Outwest Express has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Outwest Express true and complete information on this application. No requested information has been concealed. I authorize Outwest Express to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. Reset Insert Signature Date: * Signature: * THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE ABOVE. Back Next Submit
