Boer's Transfer and Storage
Address: 13325 Riley St. Holland, MI 49424
Hours: Mon – Fri: 8AM – 5PM
1.800.433.9799
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Boer's Transfer and Storage
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Employment Application
Application for Employment (Printable Version)
Employment Application
APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS
Date
Date Format: MM slash DD slash YYYY
Name
*
First
Middle
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long have you lived there?
Social Security No.
Phone
*
Cell
Other
Email
*
Are you 18 years of age or older
*
Yes
No
Position Applied for
Salary Desired
Days/hours available to work
How many hours can you work weekly?
Can you work nights?
Employment desired
*
FULL-TIME ONLY
PART-TIME ONLY
FULL- OR PART-TIME
What date are you available to start work?
*
Date Format: MM slash DD slash YYYY
Are you a U.S. citizen or eligible to work in the United States?
YES
NO
Education
By type of school
High School
NAME OF SCHOOL
LOCATION
NO. OF YRS. COMPLETED
MAJOR AND DEGREE COMPLETED
College
NAME OF SCHOOL
LOCATION
NO. OF YRS. COMPLETED
MAJOR AND DEGREE COMPLETED
Bus. or Trade School
NAME OF SCHOOL
LOCATION
NO. OF YRS. COMPLETED
MAJOR AND DEGREE COMPLETED
Have you ever been convicted of a crime, which has not been annulled, expunged or sealed by a court?
YES
NO
(The existence of a criminal record does not constitute an automatic bar to employment. It will be considered only as it is related to the job in question.)
Nature of the offense(s)
Date of the offense
Month
Day
Year
Conviction Date
Month
Day
Year
Sentence Imposed
Type of Rehabilitation
Are there felony charges pending against you?
Yes
No
Explain
How did you hear about this employment opportunity?
DO YOU HAVE A DRIVER’S LICENSE?
Yes
No
What is your means of transportation to work?
Are you able to drive your vehicle to a jobsite if needed?
Yes
No
Driver’s license number
State of issue
Normal Operator
Commercial (CDL) “A” –OR- “B”
Chauffeur
Expiration date
Month
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Have you had any accidents during the past three years?
Yes
No
How many?
Please provide date(s), and describe:
Have you had any moving violations during the past three years?
Yes
No
How many?
Please provide date(s), and describe:
Please list two references other than relatives or previous employers.
Name
Name
Position
Position
Company
Company
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Phone
Email
Email
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
Military
HAVE YOU EVER BEEN IN THE ARMED FORCES?
Yes
No
Which branch?
ARE YOU NOW A MEMBER OF THE NATIONAL GUARD or RESERVE UNIT?
Yes
No
Specialty
Date Entered
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Discharge Date
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If other than Honorable Discharge, please explain
Work Experience
Please list your work experience for the
past five years
beginning with your most recent job held. If you were self-employed, give firm name.
Employer
Name of Supervisor
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employment Start Date
Month
1
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Employment End Date
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1922
1921
1920
Phone
Reason for leaving (be specific)
Starting Salary
Ending Salary
Your last job title
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Employer
Name of Supervisor
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employment Start Date
Month
1
2
3
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5
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7
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9
10
11
12
Day
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1927
1926
1925
1924
1923
1922
1921
1920
Phone
Reason for leaving (be specific)
Starting Salary
Ending Salary
Your last job title
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Employer
Name of Supervisor
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employment Start Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
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5
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1921
1920
Phone
Reason for leaving (be specific)
Starting Salary
Ending Salary
Your last job title
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Employer
Name of Supervisor
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employment Start Date
Month
1
2
3
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5
6
7
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9
10
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Day
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Phone
Reason for leaving (be specific)
Starting Salary
Ending Salary
Your last job title
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
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