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Personal Information

Name*
Address*

Employment Desired

Position Applying For*
Warehouse Associate Positions
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Warehouse Lead Positions
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Warehouse Supervisor Positions
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Warehouse Manager Positions
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$
$
Type of Employment Desired*
Select all that apply
Shifts Available to work:*
Select all that apply
1st Shifts available to work:*
Select all that apply
2nd Shifts available to work:*
Select all that apply
Are you willing to work overtime as required?*
When would you be available to start working?*
Is there a date that you would need to stop working?*
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.*
Are you employed now?
May we contact your current employer?
Current Supervisors Name:
Have you ever been employed by Innotrac Corporation before either as an employee or a temp?*
I was employed by Innotrac Corporation from:*
To:*
Have you been convicted of a felony in the last 7 years?*
(Convictions will not necessarily disqualify you from job opportunity)
Have you ever been convicted of a misdemeanor in the past 7 years?*
(Convictions will not necessarily disqualify you from job opportunity)
Do you have any convictions in any other states?*
(Convictions will not necessarily disqualify you from job opportunity)

Educational Background

Do you have a High School Education?
Did you graduate?
Do you have a College Education?
Did you graduate?
Degrees Achieved:
Select all that apply
Do you have any other education relevant to the position for which you are applying?
Did you graduate?

Skills & Qualifications

Languages you can Read, Write and or Speak
Languages you can Read, Write and or Speak
  Read Write Speak
English
Spanish
ASL
Please check all that apply
Do you speak any other Languages?
Other Language you can Read, Write and or Speak
Other Language you can Read, Write and or Speak
  Read Write Speak
Other
Please check all that apply
Can you lift 50 lbs?*
Do you have warehouse experience?*
Warehouse Skills:
Check all that apply
Are you Certified to drive a forklift?
You must provide documentation
What type of forklifts?
Are you a certified forklift trainer?
You must provide documentation
Computer Skills:
Check all that apply
Do you have dependable transportation?
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References & Employment History

Work History:

Beginning with most recent

Hire Date
Term Date
Address of Employer
Name of Immediate Supervisor
Where you paid hourly?
$
$
$
$
Do you have additional Work History?
Hire Date
Term Date
Address of Employer
Name of Immediate Supervisor
Where you paid hourly?
$
$
$
$
Do you have additional Work History?
Hire Date
Term Date
Address of Employer
Name of Immediate Supervisor
Where you paid hourly?
$
$
$
$
Do you have any Professional References?
Please list Professional References below:
Do you have any additional Professional References?
Please list Professional References below:
Do you have any additional Professional References?
Please list Professional References below:

Authorization and Release Form

Please Initial
Please Initial
Please Initial
Please Initial
I authorize Innotrac Corporation to forward the information supplied in this application for employment to partnering staffing agencies:*

I authorize Innotrac Corporation to investigate all statements contained in this application for employment. I agree to execute as a condition of employment or continued employment any additional written authorizations necessary for Innotrac to obtain access to and copies of records pertaining to this information. With regard to the foregoing disclosures, I expressly release Innotrac and person, company or other entity from any and all causes of action that otherwise might arise from supplying Innotrac with information it may request pursuant to this release.

 

I understand that no oral or written contract of employment exists between myself and Innotrac and that no promises regarding employment have been made to me; that if I am hired, my employment shall be "at will", and that, with or without prior notice, either of us may end our employment relationship at any time without liability.

 

I understand and agree that Innotrac shall have the right to reject my application, withdraw a conditional employment offer, or terminate my employment of I am hired due to misrepresentation, omission, or falsification of any information on this application form.  

 

If I am employed, I understand that additional personal data will be required for determination of benefit eligibility and for statistical purposes.

 

I understand that Innotrac may request a consumer report in accordance with the fair reporting act concerning my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, and mode of living. I agree to execute any written authorizations necessary for Innotrac to obtain and use a consumer report for employment purposes.

 

Innotrac is a drug free work environment. If you are offered employment, you must pass a pre-employment drug test and will be subject to the company's substance abuse prevention policy that may require testing during the course of employment.

 

I hereby acknowledge that I have read the above statement and understand it.

Use your mouse or finger to draw your signature above

By submitting this application I hereby acknowledge that I read the statements above, and I understand and agree to them.

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