We’re Hiring: Customer Logistic Representative (Form) Personal Information First Name Middle Name Last Name Email Phone Current Address Address City State Select… D.C. Virginia Maryland Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Washington West Virginia Wisconsin Wyoming Zip Previous employment and background Previous Employment: Provide information on two previous employer references: First Reference Reference’s Name Refererence’s Work Phone Company/Organization Start Date End Date Second Reference Reference’s Name Refererence’s Work Phone Company/Organization Start Date End Date Any Moving Experience? Are you legally able to work in the US? Yes No Note: If we call you in for an interview we’ll need to see your ID documents. We also run a full background check before hiring. What position would you like to apply for? Select… Mover Mover and Personal Vehicle Driver * Packing Specialist CREW CHIEF Customer Service Representative Ops Manager Do you have a current and valid Drivers License? Yes No Do you have valid insurance for that car? Yes No Note: We’ll need to see your current Drivers License and insurance card in the interview Employment is contingent on successful completion of a background check. Personal Information How’d you learn about us? Some people say that the best way to learn is through our mistakes. Can you tell me about a mistake that you made, either work or personal, that taught you a significant lesson? Also, what distinguishes you from all the other applicants out there. Tell us something unique about you.