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Employment Prescreen
Items in bold are mandatory.
First Name
Last Name
Do you have a valid Social Security Card?
Yes
No
Present Address
Address #2
City
State
Zip Code
Telephone Number
Email
Are You 18 Years or Older?
Yes
No
Do You Have a valid NV Driver License?
Yes
No
Can you drive a manual transmission?
Yes
No
Department Desired
Warehouse
Orderdesk
Driver
Dispatch
Date You Can Start?
Salary Desired
Are You Employed Now?
Yes
No
Employer:
Position
Salary
Supervisor
Phone Number
Start Date
End Date
Referred By?
RJ
El Mundo
Friend/Relative
Ad On Company Truck
Craigs List
Previous Employer
Previous Position
Previous Salary
Previous Supervisor
Previous Employer Phone Number
Start Date
End Date
If applying for a Drivers Position will you be driving your own
vehicle?(answer yes if applying for any other positions)
Yes
No
Are you bilingual?(english/spanish)
Yes
No
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