Application

Personal

Name*

Email*

Address*

Street Address City State ZIP Code

Phone*

Are you 18 years old or older?*

Yes
No

Are you a U.S. citizen?*

Yes
No

Are you legally eligible to work in the U.S.A.?*

Yes
No

Have you filed an application here before?*

Yes
No

lf yes, date(s)

Have you been employed here before?*

Yes
No

if yes, date(s)

Previous position

Supervisor's name

Reason for leaving

List any friends of relatives already employed here.

Employment Desired

Position(s) applied for*

Warehouse
CDL Licensed Driver

Kind of work sought*

Full Time
Part Time

Expected pay*

Date you can start*

Please indicate experience and skills that relate to the position(s) applied for

Employment Experience

Previous Employment

Employer*

Address*

Job Title*

Supervisor*

Reason for Leaving*

Date Started Previous Job*

Date Ended Previous Job*

Hourly Rate Salary - Starting*

Hourly Rate Salary - Final

Education

Education*

Diploma/GED
College
No Diploma/No GED

Military

Have you had any experience in the Armed Forces of the United States?*

Yes
No

If yes, what branch?

Discharge date

Rank at discharge

Are you in the reserves?*

Yes
No

If yes, date obligation ends

List any special training

Additional Information

Have you ever been convicted of a crime?*

Yes
No

If yes, when, where, and nature of offense

Ever covered by a surety bond?*

Yes
No

Ever been denied surety bond or had such coverage revoked?*

Yes
No

If yes, explain when and why

How Did You Hear About This Position?*

Resume

Upload Your Resume

Accepted file types: doc, docx, pdf, Max. file size: 10 MB.

Accepted File Extensions: doc, docx, pdf

Applicant's Authorization and Understanding

Consent*

Upon the signing of this application. I represent that all of the information now or hereafter given by me in support of my application for employment is true and complete. I authorize you to verify any of the information which I have provided in this application with the appropriate individuals, companies, institutions or agencies and I authorize them to release such information as you require, including my prior disciplinary record, without any obligation to give me written notice of such disclosure. I also authorize you to release any information requested by any of my prospective or subsequent employers without any obligation to give me written notice of such disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosure. I agree that any false information in support of my application may subject me to discharge at any time during the period of employment.

IN CONSIDERATION OF MY EMPLOYMENT, I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT THE OPTION OF EITHER H. J. OLDENKAMP COMPANY OR MYSELF. I UNDERSTAND THAT ONLY AN AGREEMENT IN WRITING SIGNED BY THE PRESIDENT, THE VICE PRESIDENT AND I, CAN MODIFY THE AT-WILL NATURE OF MY EMPLOYMENT. I ALSO AGREE TO CONFORM TO THE RULES AND REGULATIONS OF H. J. OLDENKAMP COMPANY.

I FURTHER AGREE NOT TO COMMENCE ANY ACTION OR SUIT RELATING TO MY EMPLOYMENT WITH H. J. OLDENKAMP COMPANY MORE THAN SIX MONTHS AFTER THE DATE OF TERMINATION OF SUCH EMPLOYMENT AND TO WAIVE ANY STATUTE OF LIMITATIONS TO THE CONTRARY.

I further agree that my employment is conditional upon satisfactory completion of documentation as required by the immigration Reform and Control Act of 1986.

I agree*

Name

This field is for validation purposes and should be left unchanged.