Universal Application

Normal 0 false false false false EN-US X-NONE X-NONE Agile Cold Storage Employment Application Applicant Information Full Name: Date: Last First M.I. Address: Street Address Apartment/Unit # City State ZIP Code Phone: Email Date Available: Days/Nights: : Position Applied for: Are you a citizen of the United States? YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 If no, are you authorized to work in the U.S.?

YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 Have you ever worked for this company? YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 If yes, when?

Have you ever been convicted of a felony? YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 If yes, explain: Education High School: Address: From: To: Did you graduate? YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 Diploma: College: Address: From: To: Did you graduate?

YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 Degree: Other: Address: From: To: Did you graduate? YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 Degree: References Please list three professional references.

Full Name: Relationship: Company: Phone: Address: Full Name: Relationship: Company: Phone: Address: Full Name: Relationship: Company: Phone: Address: Previous Employment Company: Phone: Address: Supervisor: Job Title: Starting Salary: $ Ending Salary: $ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 Company: Phone: Address: Supervisor: Job Title: Starting Salary: $ Ending Salary: $ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference?

YES FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003300000000000000000000000000000000000000000000000000 NO FORMCHECKBOX FFFFFFFF650000001400060043006800650063006B003400000000000000000000000000000000000000000000000000 Military Service Branch: From: To: Rank at Discharge: Type of Discharge: If other than honorable, explain: Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Signature: Date: