Online Job Application - Crystal Cold

Crystal Distribution Services, Inc. is proud to be an Equal Employment Opportunity employer (EEOC – Equal Employment Opportunity Commission).

Contact Info
Position Info
Licenses & Education
Employment
Documents & References
Agreement

Applicant Information

Date *

First Name *

Last Name *

Other names used

Contact Info

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone *

Email Address *

Additional Info

Are you at least 18 years of age? *

Military Status

Do you have the legal right to work in the United States? *

Will you now or in the future require sponsorship for employment visa status? *

Have you ever worked for this company?

When?

Position Info

Specific Position Applied For

Was this position advertised?

Where

When

On what date would you be available for work?

Desired Salary

Job Responsibilities

Will you be able to perform the essential functions of the position for which you have applied?

What accommodation to this condition would make it possible for you to do this job?

This job could require you to travel Monday through Friday on a statewide basis. Are you prepared to be gone overnight on this arrangement?

Other Info

After a job offer is extended, job placement is contingent upon your passing a drug screen and background check. Are you willing to submit to a drug screen and background check at our expense?

Licenses

A valid driver’s license is required, please specify the type of license:

Operators
Commercial (CDL)

Prior to employment, applicant will be asked to furnish Drivers License # & authorize release of state driving record.

Have you had a motor vehicle accident or moving violation in the past 5 years?

Please explain:

List any trade licenses you may have:

Are you prepared to provide the craft tools as required for your trade?

List any craft training programs in which you have participated:

Education

Have you attended high school, college, vocation / technical school?

High School

High School Address

Did you graduate high school?

High School Degree

College

College Address

Did you graduate college?

College Degree

Other Education or Schooling

Current Employment

Are you currently employed?

Are you subject to recall?

Past Employment

List names of employers in consecutive order with present or last employer listed first for the last 7 years. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references.

Previous Employer 1

Company

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Start Date

End Date

Responsibilities

Reason For Leaving

May we contact your previous supervisor for a reference?

Previous Employer 2

Company

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Start Date

End Date

Responsibilities

Reason For Leaving

May we contact your previous supervisor for a reference?

Previous Employer 3

Company

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Start Date

End Date

Responsibilities

Reason For Leaving

May we contact your previous supervisor for a reference?

Additional Employment

If you need additional space to provide complete info for the last 7 years, please upload a separate document.

File Upload

Drop your file here or click here to upload

Files must be uploaded as doc, docx, pages, or pdf.

Resume & Cover Letter

Please include a copy of your resume and a cover letter for the position.

Files must be uploaded as doc, docx, pages, or pdf.

Cover Letter & Resume Upload

Drop your files here or click here to upload You can upload up to 3 files.

References

Please list three professional references

Reference 1

Full Name

Relationship

Company

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Reference 2

Full Name

Relationship

Company

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Reference 3

Full Name

Relationship

Company

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Disclaimer & Signature

Disclaimer

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment, and that the answers given by me are true and correct to the best of my knowledge. 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 immediate discharge if I am employed, regardless of the time elapsed before discovery.

I authorize Crystal Distribution Services, Inc. to secure information about my experience with former employers, educational institutions, and agencies, and for those parties to provide information concerning my experience. I release all parties from any liability arising theretofore. Furthermore, I understand that all offers of employment are contingent upon the successful completion of a thorough reference check, drug screen, and background test.

I understand that nothing contained in this application, or conveyed during any interview that may be granted, or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is at-will and may be terminated at any time, with or without warning, with or without notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company. This statement of the employment at-will relationship is the entire agreement between employees and Crystal Distribution Services, Inc as to the duration of employment.

I certify that I have read and understand the foregoing, and to the best of my knowledge and belief, all the information on this form is true and correct.

Note: This application will be current for 6 months (180 days) or until position is filled.

Signature

Date Signed

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