Online Interview

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First Name






Last Name






Address







City





State





ZIP Code





Phone





Email





Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:


Education:




How many years of education have you completed?
Some High School
H.S. Diploma or equivalent
Some College
2-Year College Degree
4-Year College Degree
Beyond 4-year College Degree


Experience:




How many years experience do you have in the position for which you are interested?
No experience
Less than one year
At least 1 to 3 years
At least 4 to 6 years
At least 7 to 9 years
Ten or more years




Do you have experience loading, unloading, weighing and marking materials?
yes
no




Do you have experience with truck and railcar dock or bay systems?
Yes
No




Do you have experience distributing materials between receiving and shipping docks to manufacturing or processing areas?
yes
no




Do you have experience verifying incoming & outgoing shipments?
yes
no




How many pounds are you able to lift with no assistance?
Up to 25 pounds
Up to 50 pounds
Up to 75 pounds
Over 75 pounds




Do you have experience handling or shipping fragile or hazardous materials?
Yes
No




Do you have experience using power lifts to transport materials?
Yes
No




Do you have experience using forklifts to transport materials?
Yes
No




Do you have a forklift driver certification?
Yes
No




Do you have experience using automated shipping & receiving systems?
Yes
No




Do you have experience with bills of lading procedures for incoming merchandise and orders?
Yes
No




Do you have experience with standard shipping or freight procedures such as UPS, FedEx or Yellow Freight?
Yes
No




Are you able to read and understand written English?
Yes
No


Work/Salary:




Would consider temporary assignments or seasonal work?
Yes
No




Which shift do you prefer to work?
Days
Afternoons
Nights
Swing
Any shift




What hourly base rate are you looking to receive:
$5.15 to $6.50 per hour
Up to $8.00 per hour
Up to $10.00 per hour
Up to $12.00 per hour
Up to $14.00 per hour
Up to $16.00 per hour
Up to $18.00 per hour
Up to $20.00 per hour
$20.00 or more per hour


General:




Are you interested in working full time or part time?
Full time
Part time




Are you currently employed?
Yes
No




How many employers have you worked for in the past five years?
One
Two
Three
Four
Five or more




How many days of work (other than vacation or approved time off) have you missed in the past year?
None
1 to 4 Days
5 to 10 Days
More than 10 days




Do you have access to reliable transportation?
Yes
No




How many miles from your home are you willing to travel to work?
Up to 5 miles
Up to 10 miles
Up to 20 miles
Over 20 miles




Are you at least 18 years of age and eligible to work in the United States?
Yes
No




Are you at least 16 years of age and eligible to work in the United States?
Yes
No




Are you bi-lingual or multi-lingual?
Yes
No




In addition to English, in which language are you most fluent?
Spanish
French
Italian
German
Russian
Chinese
Japanese
Other
None




Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing?
Yes
No




Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks?
Yes
No




Are you now or have you been a member of the United States Military, National Guard or Reserves?
No
I am a Veteran of the United States military
I am currently a member of the United States military
I am currently a member of the National Guard or Reserves
I was a member of the National Guard or Reserves



Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.


Additional Info:
 

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