On Time Delivery Services - same-day delivery in the Twin Cites metropolitain area of Minnesota

Customer Service Application

Personal Information
Present Address
Permanent Address
Career Desired
Education History
High School
Name
Location
College
Name
Location
Other
Name
Location
General Informaiton
Employment History

List last four employers, starting with last one first

Employer 1
From
To
Employer 2
From
To
Employer 3
From
To
Employer 4
From
To
Professional References
Name Business Phone # Years Know
Resume
Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative or the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

The following constitutes an electronic signature and is considered to be an acceptable form of signature representing your legal agreement to these statements.