Employee Application
Personal Information:
First Name:	Initials
Last Name:
Company Name:
Address:
City:
Province/State:	Province/State Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territories Nunavut Ontario Price Edward Island Quebec Saskatchewan Yukon --------------------- Alabama Alaska Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   Postal/ZIP:   Country: Country Canada United States Other
Email:
Retype Email:
Phone #:	Cell #:
S.I.C. #:	Date Available:
Employment History:
If you are presently employed may we contact your employer: Yes No
1. Company Name:
Address:
City:
Phone #:	Supervisor:
Work Responsibilities:
Reason For Leaving:
2. Company Name:
Address:
City:
Phone #:	Supervisor:
Work Responsibilities:
Reason For Leaving:
3. Company Name:
Address:
City:
Phone #:	Supervisor:
Work Responsibilities:
Reason For Leaving:
Personal Reference:
Please list two people who know your performance at work, school, or in a voluntary service capacity.
1. Contact Name:	Phone #:
2. Contact Name:	Phone #:
Job Information:
Would you be willing to work shifts/weekends: Yes No
Would you be willing to take forklift, computer, or business courses on your own time providing you were reimbursed for the course registration and tuition fees? Yes No
What mode of Transportation would you use to get to and from work:
Do you have a valid Driver's License: Yes No Driver's License Class:
Provide valid Driver's License #:
Do you have any job related physical handicaps or health problems: Yes No
If yes please explain:
Are you aware of any facts that could serve to deny personal coverage under a bond:
	Yes, I may not be covered under a bond. No
If yes please explain:
Are you legally entitled to work in Canada: Yes No
Type of Work Desired:
Permanent:	Part Time: Summer: Winter: Desired Salary:
Education
High School:	School Phone #:
Highest Level Completed:
Community College, Business, Trade/Techinical School, University (State what level/degree/diploma was obtained)
Computer Skills: # of words per minute: Do you have your own computer: Yes No
Other Information
Awards and Achievements:
Associations or Affliations:
Hobbies, Volunteer Work, or Interests
Warehouse Operational Skills
Can you drive a powered forklift: Yes No Do you have a forklift driver's authority: Yes No
Have you worked in a warehouse before: Yes No
If yes, enter the # of years experience:
Applicant's Certification and Agreement
I hereby certify that the facts set forth in this emplyment application are true and complete to the best of my knowledge. Iconsent to a personal investication by Fastrek Express Inc. or it's agents in connection with this application and hereby authorize any party concerned to release records of my service and other information regarding me. I understand that any offer of employment may be conditional upon a medical exmination and/or delivery to the company or a certified copy of my driving records. It is understood that during my employment that I will not share any of their customer information and I will not approach or do business with any of Fastrek Express' customers be it the benefit for myself or anyone else.
Signature of Applicant:        Date: yy/mm/dd