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WillametteExpress LTD

ODOT 51817 | WUTC 61561
DOT 1080376 | MC 448995

Worldwide Moving & Storage

QUALITY IS CONSISTENTLY
EXCEEDING YOUR EXPECTATIONS

HOME | OFFICE | INDUSTRIAL

COVID-19 UPDATE: As of March 12th 2022, masks are no longer required. We are support your choice to wear or not to wear a mask.

Employment
Job Application

PAGE 1 OF 3

PERSONAL INFORMATION

FULL NAME

DATE

ADDRESS

CITY

EMAIL

PHONE

SOCIAL SECURITY NUMBER

DATE AVAILABLE

DESIRED PAY

HOUR

SALARY

POSITION APPLY FOR

POSITION DESIRED

FULL-TIME

PART-TIME

SEASONAL

Employment Eligibility

ARE YOU LEGALLY ELIGIBLE TO WORK IN THE U.S. ?

YES

NO

HAVE YOU EVER WORKED FOR THIS EMPLOYER?

YES

NO

IF YES, WRITE THE DATES

HAVE YOU EVER BEEN EVICTED OF A FELONY?

YES*

NO

*HAVE YOU BEEN EVICTED OF A FELONY? IF YES, PLEASE EXPLAIN BELOW

EDUCATION

HIGH SCHOOL - CITY, STATE

GRADUATE

YES

NO

COLLEGE - CITY, STATE

GRADUATE

YES

NO

OTHER EDUCATION - CITY, STATE

DATE | FROM - TO

DIPLOMA

DATE | FROM - TO

DEGREE

DATE | FROM - TO

DEGREE/CERTIFICATION

OTHER EDUCATION - CITY, STATE

DATE | FROM - TO

OTHER EDUCATION - CITY, STATE

DATE | FROM - TO

DEGREE/CERTIFICATION

IF YOU NEED MORE SPACE, PLEASE WRITE BELOW

WillametteExpress LTD

8850 SE Herbert Ct.
Clackamas, OR 97015

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503-513-5118