866-786-8899 [email protected]

Our company takes great pride in our skilled employees and the quality services we provide our clients. We frequently have positions available in loading/unloading, putaway, selecting, picking, assembly line, pallet management, quality control, freight hauling, cycle counting, machine operators and much more.

Fill out the application fields below, and an American Lumper Services recruiter will contact you about available positions as soon as possible.

Applicant Information

Full Name: Date:
Address:

Phone: Email:
Driver's License / State ID License/ID State
Date Available: Social Security No.:
Position Applied for:

Are you a citizen of the United States? YesNo
If no, are you authorized to work in the U.S.? YesNo
Have you ever worked for this company? YesNo
If yes, when?

Education

High School: Address:
From: To: Did you graduate?: YesNo Diploma:
College: Address:
From: To: Did you graduate?: YesNo Diploma:
Other: Address:
From: To: Did you graduate?: YesNo Diploma:

References

Please list three professional references.

Previous Employment

Military Service

Branch: From: To:
Rank at Discharge: Type of Discharge:
If other than honorable, explain:

CAREFULLY READ EACH STATEMENT BEFORE SIGNING AT THE BOTTOM


I affirm that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background check. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in immediate termination of my employment if discovered at a later date.

I authorize the investigation of any or all statements contained in this application and also authorize any person, educational institution, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I have read and understand the above statements.

I affirm the above statements to be true.



Signature: Date:

This information below is used solely for the purpose of conducting a background check.



Last Name:

First Name:

DOB:

I understand that the social security number, date of birth and address that I’ve provided on my application will be used to complete my criminal background check.

I have read and understand the above statements.

I affirm the above statements to be true.



Signature: Date: