Employment Opportunities

Material Handling Supply, Inc., is an Equal Opportunity Employer offering his employees a comprehensive benefits package and competitive wages. You may fill out and submit your application right here online by filling out the form below, or you may contact us for instructions on applying in person.

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

Name:	Phone:
Present Address:	City, State, Zip:
Permanent Address:	City, State, Zip:
Social Security #	Referred by:
E-Mail Address:

EMPLOYMENT POSITION DESIRED

Position Desired:
Desired salary:
Date you can start:
Are you currently employed? Yes No May we contact your employer? Yes No Have you applied to our company before? Yes No If yes, where? When?

EDUCATION

*School*	*Name of School:*	*State:*	*Graduated?*
Grammar			Y N
High School			Y N
College			Y N
Other			Y N

PLEASE LET US KNOW OF ANY SPECIAL TRAINING OR EXPERIENCE THAT QUALIFIES YOU FOR THE POSITION YOU ARE SEEKING:

ACTIVITIES (CIVIC, ATHLETIC, ETC.)

Exclude organizations, the name or character of which indicates the race, creed, sex,
marital status, age color, or national origin of its members:

FORMER EMPLOYERS -- LIST YOUR LAST FOUR EMPLOYERS, STARTING WITH MOST RECENT.

Dates (Month and Year): From: To:	Name of Employer:
Position:	Address:
Salary:
Reason for Leaving:

Dates (Month and Year): From: To:	Name of Employer:
Position:	Address:
Salary:
Reason for Leaving:

Dates (Month and Year): From: To:	Name of Employer:
Position:	Address:
Salary:
Reason for Leaving:

Dates (Month and Year): From: To:	Name of Employer:
Position:	Address:
Salary:
Reason for Leaving:

REFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

*Name:*	*City, State:*	*Years Known:*
1.
2.
3.

IN CASE OF EMERGENCY, NOTIFY:

Name:

Phone:

Address:

Relationship:

By submitting this application on-line, I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payments of my wages and salary, be terminated at any time without any previous notice.