Application for Employment

Bottled Water Route Driver

Prior experience is preferred but not required. Must have a clean driving record as an MVR and background check are mandatory. Must be able to lift 50 to 100 pounds repeatedly throughout the day. Must also be able develop strong professional relationships with customers and have good teamwork skills. Minimum age requirement for this job is 21. This is a drug free workplace.

"*" indicates required fields

First Name*

Middle Name

Last Name*

Address*

Unit/Suite/etc.

City*

State*

ZIP Code*

Phone*

Email*

Special training or skills (languages, machine operation, etc.) that would benefit your in the job for which your are applying.

Shift Preferred*

1st

2nd

3rd

Any

Would you accept full-time work?*

Yes

Would you accept part-time work?*

Yes

On what date would you be available to work?*

Have you ever been employed here?*

Yes

Are you lawfully authorized to work in the United States?*

Yes

If you are under 18 years old, can you furnish a work permit if required?*

Yes

N/A

Are you able to perform the essential function of the job for which you are applying (with or without reasonable accommodation)?*

Yes

Need more information about the job’s essential functions to respond.

This question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law. Notice to Rhode Island applications: This Company is subject to the state’s workers’ compensation laws (Chapters 29-38) unless otherwise noted below:

Educational Background

Starting with your most recent school attended, provide the following information.

Education

School (Include City and State)	# of Years Completed	GPA/Class Rank	Major/Minor	Completed	Actions

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Employment History

Starting with your most recent employer, provide the following information. You may include any verified work performed on a volunteer basis.

Employment

Employer	Phone	Address	City	State	Start Date	End Date	Immediate supervisor and title (for most recent position held)	May we contact for reference?	Summarize the type of work performed and job responsibilites	Actions

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References

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Name	Relationship	Phone	Actions

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Application for Employment

Bottled Water Route Driver

Educational Background

Employment History

References

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