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Attachments
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Work History if No Resume
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Other Information
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Can you show proof of your legal right to work in the United States?
Yes
No
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Can you pass a mandatory drug test?
Yes
No
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Are you at least 18 years of age?
Yes
No
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Do you agree not to get on any powered equipment you are not OSHA 29 CFR certified to operate?
Yes
No
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I understand that I will use direct deposit or a paycard to receive my weekly pay, otherwise a paper check will be mailed through the USPS and subject to delays?
Yes
No
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How did you hear about this position?
2nd Chances 4 Felons
Belmar Integrated Logistics website
Career Builder
Careerjet
Church
Connecting Colorado
Craigslist
email
Employee referral
External recruiter
Facebook
Find the Right Job
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juju
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web search
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Please enter who you were referred by
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Please enter how you heard about this position
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Have you ever worked for us before?
Yes
No
If yes, please explain where you were assigned and why you left.
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Do you have Warehouse Experience? Please select all that you have experience with
Order Selector
General Labor
Food Service Order Selector
Unloader or Lumper
Receiver/Replenisher
Auditor
QA/QC
Loader
Re-pack
Kitting
Driver Helper
Pallet Runner
Manufacturing
Assembly
Production
No Warehouse Experience
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What equipment are you certified to use?
Electric Pallet Jack (Platform Rider)
Walk behind Elec Pallet Jack
Manual Pallet Jack
Stand-up Forklift
Stand-up Reach Forklift
Sit-down Forklift
Tugger/Dwarf Jack
RF Wireless Scan Selection Pistol
RF Wireless Scan Arm Unit
VoCollect Audio selection picking
No Equipment Experience
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What Shifts can you work?
Days
Evenings/Nights
Graveyard
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Have you ever quit showing up for a job or got let go due to attendance?
Yes
No
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Have you ever been convicted of the following?
None
Felony
Non-violent Felony
Class A Misdemeanor
Class B or C Misdemeanor
Non-violent Misdemeanor
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If hired when will you be able to start?
ASAP
In 1 week
In 2 weeks
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Are you able to perform the essential functions of the position applied for, either with or without reasonable accommodation?
Yes
No
If no, describe the functions you will not be able to perform.
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Do you have reliable Transportation to get you to & from work everyday?
Yes
No
Public Transit
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Are you willing to take a drug test and criminal background check?
Yes
No
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What are your MINIMUM salary requirements?
$8.00/HR and Above
$9.00/HR and Above
$10.00/HR and Above
$11.00/HR and Above
$12.00/HR and Above
$13.00/HR and Above
$14.00/HR and Above
$15.00/HR and Above
$16.00/HR and Above
$17.00/HR and Above
$18.00/HR and Above
$19.00/HR and Above
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How far are you willing to commute to work?
15 minute driver or less
30 minute driver or less
45 minute driver or less
60 minute driver or less
75 minute driver or less
90 minute driver or less
If we contact you for a phone screen, when should we call? (pick as many slots as you wish)
8am to 11am
11am to 3pm
3pm to 6pm
6pm to 8pm
Any of these times
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