Allen Distribution

670 Allen Road, Carlisle, PA 17015 • 717-258-3040 • info@allendistribution.com

WAREHOUSING
SOLUTIONS

TRANSPORTATION
SOLUTIONS

VALUE-ADDED
SOLUTIONS

DIRECT RAIL SERVICE
SOLUTIONS

General Employment Application

Our on-line application is not a substitution for a formal job application or employment interview, but merely a starting point to match your skills and previous work experiences to any currently available positions at Allen Distribution.

Click Here to download our General Employment Application or Fill out the Online Form below.

APPLICATION FOR EMPLOYMENT
Name: Date:
Address:
City: State: Zip:
Phone:
E-mail Address: *
Social Security Number:
Are you at least 18 years of age? Yes No
Are you either a U.S. Citizen or an alien authorized to work in the United States? Yes No
Referral Source: Employee Relative Advertisement Walk-in Other
Other:
Name of Source (if applicable):
Were you previously employed by this organization? Yes No
If yes, when?
Position applied for:
Date available to begin work:
Will you accept employment of: Full-time Casual Temporary/On Demand
Shift desired: Day Evening Night Weekend Other
Other:
Are you employed now? Yes No
If yes, may we contact your present employer? Yes No
EDUCATIONAL HISTORY
High School or GED Equivalent
Name & Location of School:
Number of years attended:
Did you graduate? Yes No
Degree, Diploma or Certificate received:
College
Name & Location of School:
Number of years attended:
Did you graduate? Yes No
Degree, Diploma or Certificate received:
Graduate/Professional
Name & Location of School:
Number of years attended:
Did you graduate? Yes No
Degree, Diploma or Certificate received:
List any other education, training, special skills or certificates/licenses that you possess related to this job:
REFERENCES
Please list the names of three persons, not related to you, whom you have known for at least five years.
Reference 1:
Name:
Address:
Business:
Phone:
Reference 2:
Name:
Address:
Business:
Phone:
Reference 3:
Name:
Address:
Business:
Phone:
EMPLOYMENT HISTORY
Please start with most recent employer first.
[1] Name/Location of Employer:
From: To:
Salary: Position:
Reason for Leaving:
[2] Name/Location of Employer:
From: To:
Salary: Position:
Reason for Leaving:
[3] Name/Location of Employer:
From: To:
Salary: Position:
Reason for Leaving:
[4] Name/Location of Employer:
From To:
Salary: Position:
Reason for Leaving:
EMERGENCY CONTACT
Emergency Contact Name:
Address:
City: State: Zip:
Phone:
COMMENTS
Please list any comments or qualifying statements you care to make (i.e. explain periods of unemployment, etc.)
Comments:
APPLICANT'S CERTIFICATION
Allen Distribution does not discriminate in hiring or any other decision on the basis of race, color, gender, citizenship, national origin, ancestry, Vietnam era veteran status or on the basis of age or physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination, or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law. I certify that answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false, misleading, or incomplete information given in my application or interview(s) may result in termination of employment. I understand, also, that I am required to abide by all rules and regulations of Allen Distribution. I understand if I am hired, that my employment is at will, and that either party is free to terminate the employment relationship at any time without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that I may be required to pass a physical examination, which relates to the essential duties I would be required to perform, and a drug test. I understand that an offer of employment may be contingent on passing this physical examination and drug test. By signing below I consent to these procedures. If employed, I will be required to complete an employment Verification form (I-9), and show satisfactory evidence of identity and eligibility for employment. Allen Distribution has Zero Harassment tolerance. I voluntarily give Allen Distribution the right to make a thorough investigation, to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from all liability and responsibility the employer and its representatives for seeking, gathering and using such information, and all persons, companies or corporations for furnishing such information. I have read and fully understand the foregoing and seek employment under these conditions.
Initials:* Date: