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Jakes Moving and Storage is family owned and operated with many years in the industry. We are seeking professionals that are motivated, energetic, and ready to grow with the company!

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This form has a “Save and Continue Later” option available at the bottom of the page. Simply click the “Save and Continue Later” link and then enter your email address as prompted to receive a link that will allow you to retrieve your completed entries and complete the form at a later time.

Employment Application Form

Personal
Full Name (First + Middle + Last)*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Permanent Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email
Are you a citizen of the United States?*
- Yes
- No
Are you authorized to work in the U.S.?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
If yes, please explain, including dates & offenses.
Convictions are not an automatic disqualification from employment.
Employment Interests
Position(s) Desired or Area of Interest:*
- Moving Crew Member
- Driver
Date Available*
MM slash DD slash YYYY
Desired Salary*

You can state this as an annual income or at an hourly rate.
Education/U.S. Military Service
Where did you attend high school & college? (Click the + button to add a new row)*
School Name & Address Years Completed Did you Graduate? Diploma/Degree
Are you taking any educational course(s) presently?*
- Yes
- No
- I will be soon
If Yes, please explain when and where you plan on taking courses.
Have you ever served, or are you serving, in the U.S. Armed Services?*
- Yes
- No
- I am currently serving
Date of enlistment
MM slash DD slash YYYY
Date of discharge
MM slash DD slash YYYY
What branch of the U.S. Armed Forces?

e.g. Air Force, Army, Navy, Marines, Reserves, Coast Guard, etc.
Rank held at discharge
Were you honorably discharged?*
- Yes
- No
If No, please explain.
Convictions are not an automatic disqualification from employment.
References
List 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives. (Click the + button to add a new row)*
Full Name Relationship Company Name Address Phone

Relationship (e.g. boss, co-worker, owner)
Employment History
Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.
Company Name (Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Did you have another job before this one?*
- Yes
- No
Company Name (Second Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Would you like to list another previous job?
- Yes
- No
Company Name (Third Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Would you like to list a 4th job?
- Yes
- No
Company Name (Fourth Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
I agree to a Drug Screening at the company's expense.*
- Yes
- No
I agree to a Criminal Background Check at the company's expense.*
- Yes
- No
Acknowledgement
Digital Signature:

Printing your First Name + Middle Initial + Last Name will act as your digital signature.
Date
MM slash DD slash YYYY
Resume Upload (optional)
Accepted file types: doc, docx, pages, odt, rtf, tex, txt, wpd, wps, pdf, Max. file size: 256 MB.
If you have a resume you'd like to attach, please do so here. This is not required.
Would you like to add a cover letter?
- Yes
- No
Cover Letter (optional)
Max. file size: 256 MB.
Please upload your cover letter here. You may also copy and paste the contents of your cover letter in the space below.
Email
This field is for validation purposes and should be left unchanged.

Save and Continue Later

School Name & Address	Years Completed	Did you Graduate?	Diploma/Degree

Full Name	Relationship	Company Name	Address	Phone

From	To

Start	End

From	To

Join Our Team

Save and Continue Later

Employment Application Form

Personal

Employment Interests

Education/U.S. Military Service

References

Employment History

Acknowledgement