International Warehouse Group

290 Spagnoli Road

Melville, NY 11747

Application for Employment


(An Equal Opportunity Employer)

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Personal Data

Name: Social Security #
LastFirstMiddle
Address:
StreetAptCityStateZip
Home Phone:   Cell Phone:
Email Address (optional):  *Email address will only be used for employment communication.
• Are you 18 years of age or older?
• Are you eligible to work in the United States?
• Have you ever plead guilty or been convicted of a crime other than a driving related misdemeanor within the past 7 years?
If yes, please explain on the given line below (Conviction of a crime is not an automatic bar to employment)

Educational Data

Highest grade completed  
College        Grad. School  
Type of School Name of School City/State Course of Study Graduated?
Grade
High School
College
Grad. School


Material Handling Equipment Experience

(Rate Yourself, Check One)

Type of Equipment Expert Abilities Good Abilities Novice/No Experience
Forklift
Docker
Order Picker
Reach Truck
Swing Reach

Computer Experience

(Check the appropriate boxes)
Other:



Position Applied for:   Are you available full time? 
Have you ever worked for International Warehouse Group before?    If yes, when 
Do you have a relative working for International Warehouse Group?    If yes, who? 
Have you ever been dismissed or involuntarily terminated from any employment? 

Employment History

Date
Month and Year
Most Recent employer first
 Name
Address
Phone of Employer		 Salary Position Reason for leaving
From
To
From
To
From
To
From
To

References

Name Phone Number Business Years Acquainted

Are you able to perform the essential functions of the job(s) for which you are applying without accommodation?
If No, please explain:

AFFADAVIT

I authorize International Warehouse Group or its agents to investigate all of the information that I have provided on this employment application. I authorize any references that I have or will provide to give International Warehouse Group all information concerning my previous employment and other pertinent information they may have, personal or otherwise, and release International Warehouse Group and all references, including past employers from all liability that may result from obtaining such information.

I understand that any false or misleading information provided by me on this application or during any interview may result in my not being hired or later discharged. I understand that this application does not and is not intended to create an express or implied contract of employment or to guarantee employment for any period of time. I understand that if employed, my employment is “at will” and both International Warehouse Group and I may at any time end my employment with or without reason and with or without notice. I further understand that this is a 60 day probationary period during which my performance will be evaluated. I further understand that my “at will” employment relationship may not be changed by any written document, by oral statement, or by contract unless such change is acknowledged in writing by the president of the company.

This application is valid for 90 days only.