Application: Warehouse Assistant - Part-Time

Date of Application

Email

First Name

Last Name

Address
City, State, Zip

Phone Number

Start Date Availability

We will be contacting qualified applicants by phone. What is the best time to contact you?

8:30am - 11:30am
11:30am - 2:30am
2:30am - 5:30am

What is the highest level of education you have completed?

G.E.D.
High School
Trade School
Some College/College Graduate

Why are you leaving your present job or what have you been doing while unemployed?

If experienced in coatings, what product have you worked with the most?

Epoxy Coatings
Urethane Cement
MMA
No Coatings Experience

Shifts (10-12 hours) can vary based on customer's needs. Are you prepared to work any shift, not only 1st shift but 2nd shift, 3rd shift or weekends/holidays as needed?

Yes
No
Limited Availability

Are you available for out of town travel when needed? (Potentially more than 35% of our business) typically for 1-2 weeks at a time. Some projects may last for an extended period but normally you would get home every 2 weeks

Yes
No
Limited Availability

Do you have reliable transportation and a valid driver's license?

Yes
Yes, with a CDL
Yes, interested in CDL
No

Are you able to perform daily physical activity, work on your hands and knees, navigate obstacles, climb ladders and lift 50 lbs. unassisted? As part of the hire process, a physical assessment will be

Yes
No

What do you think are your qualifications for this job?

What do you feel is a reasonable policy with regard to attendance and tardiness?

What is the most physical/hardest job you have had? Why?

How do you feel about detail work and accuracy?

Where did you learn about this open position? (Indicate the website, job board, referring individual or newspaper.)

What's 4 + 3? (please only one digit numbers)

Submit Application