Employment Application

1 · Position applying for

Crew MemberCrew Lead

2 · Personal information

Full legal name *Email *Phone *Street addressCityStateZIP / postal codeYears at current address

Previous address (if less than 2 years at current)

4 · Emergency contact

NameRelationshipPhone

5 · Employment history (most recent first)

List your last 3 employers. Include gaps if any — you can explain in "reason for leaving". Add at least one entry, or write "First job" in responsibilities.

Total years of moving / warehouse / physical-trade experience *

Employer #1

Employer / companyJob titleCity, stateSupervisor nameSupervisor phoneStart date (MM/YYYY)End date (MM/YYYY)Starting payEnding pay

I currently work hereOK to contact this employer

Duties and responsibilitiesReason for leaving

Employer #2

Employer / companyJob titleCity, stateSupervisor nameSupervisor phoneStart date (MM/YYYY)End date (MM/YYYY)Starting payEnding pay

I currently work hereOK to contact this employer

Duties and responsibilitiesReason for leaving

Additional employment notes (optional)

6 · Education & skills

Education #1

School / programLocationLevelField of study / focusYear completed

Graduated / completed

Certifications & licenses (OSHA, forklift, first aid, CDL, etc.)Military service (branch, dates, discharge type — optional)

Languages spoken

Skills & equipment operated (dollies, straps, pads, shrink wrap, forklift, pallet jack, piano boards, etc.)

7 · Background disclosures

A conviction is not an automatic bar to employment. We evaluate each situation based on the nature of the offense, time elapsed, and relevance to the position.

I have been convicted of a felony.I have previously worked for River Bend Moving Labor.Do you have relatives currently employed at River Bend? (name & relationship, or 'None')

8 · Availability

Earliest start dateDesired hours per weekDesired pay rate (optional)

Days available (check all that apply)

Available weekendsAvailable eveningsAvailable early mornings (before 7am)Willing to travel overnight for long-distance jobs

Additional availability notes *

9 · Professional references

Please provide two or three non-family references — a former supervisor is best.

Reference #1

NameRelationshipPhoneEmailYears known

Reference #2

NameRelationshipPhoneEmailYears known

Reference #3

NameRelationshipPhoneEmailYears known

10 · Short answers

Why do you want to work at River Bend?Anything else you'd like us to know?How did you hear about us?

11 · Certification & signature

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statement or omission may result in rejection of my application or termination of employment. *I authorize River Bend Moving Labor to conduct a background check as permitted by law.I authorize River Bend Moving Labor to contact my previous employers and references.I understand that, if hired, my employment will be at-will and may be terminated by either party at any time, with or without cause or notice. *

Type your full name to sign *Date

River Bend Moving Labor is an equal opportunity employer.