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UPS Job Application Form

To apply for either a mailing or desk position at UPS, interested individual must accomplish this form and submit it to the manager or attending staff at the desired site.

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Application for Employment—The UPS Store	 	
 
Name	         	Date	     	 	    Last                   First        Middle 
Address	            	 	 Street    City   State  Zip Code 
Telephone #	   (       )     	  Other Phone #	   (       )     	 	 
Social Security #	      	  Referred by      	 	 
 
Position(s) applied for       	  Date available     	 	 
Type of employment desired 	Full-Time 	Part-Time 	Temporary 	Seasonal 	
Educational Co-Op  
Salary desired    	 If currently employed, may we contact your employer?  	Yes     	No 	 
Are you legally eligible for employment in this country?  	Yes     	No 	 
If you are under 18 and it is required, can you furnish a work permit?  	Yes     	No 	 
Are you available to work overtime if required?  	Yes     	No 	 
Have you applied with MBE/The UPS Store before?  	Yes     	No 	 
Have you been employed at MBE/The UPS Store before?  	Yes     	No 
If yes, when?      	
 and at what location?    	 	 
Do you have any friends or family employed at this location?  	Yes     	No 	 
Have you been convicted of a crime in the last seven (7) years?  	Yes     	No 
If yes, please explain           	
 	    CONVICTION WILL NOT	 NECESSARILY BE A DISQUALIFICATION FOR EMPLOYMENT.	 	 
EDUCATIONAL BACKGROUND 
List previous three (3) educational institutions attended, beginning with the most recent. 
  	 	DEGREE(s)/DIPLOMA(s) 	
SCHOOL 	CITY, STATE 	GRADUATED? 	EARNED 	
    	Yes     	No 	
    	Yes     	No 	
    	Yes     	No

EMPLOYMENT BACKGROUND 
Provide the following information beginning with the most recent employer.	 	 
EMPLOYER TELEPHONE 	DATES EMPLOYED  SUMMARIZE THE TYPE OF WORK 	
(      ) 	FROM 	TO  PERFORMED AND JOB RESPONSIBILITIES 	
ADDRESS 
JOB TITLE 	HOURLY RATE/SALARY STARTING 	
IMMEDIATE SUPERVISOR AND TITLE  $  per 
REASON FOR LEAVING 	HOURLY RATE/SALARY 	FINAL 	
MAY WE CONTACT FOR REFERENCE?  $  per 
         	Yes         	No         	Later 	
EMPLOYER TELEPHONE 	DATES EMPLOYED  SUMMARIZE THE TYPE OF WORK 	
(      ) 	FROM 	TO  PERFORMED AND JOB RESPONSIBILITIES 	
ADDRESS 
JOB TITLE 	HOURLY RATE/SALARY STARTING 	
IMMEDIATE SUPERVISOR AND TITLE  $  per 
REASON FOR LEAVING 	HOURLY RATE/SALARY 	FINAL 	
MAY WE CONTACT FOR REFERENCE?  $  per 
         	Yes         	No         	Later 	
EMPLOYER TELEPHONE 	DATES EMPLOYED  SUMMARIZE THE TYPE OF WORK 	
(      ) 	FROM 	TO  PERFORMED AND JOB RESPONSIBILITIES 	
ADDRESS 
JOB TITLE 	HOURLY RATE/SALARY STARTING 	
IMMEDIATE SUPERVISOR AND TITLE  $  per 
REASON FOR LEAVING 	HOURLY RATE/SALARY 	FINAL 	
MAY WE CONTACT FOR REFERENCE?  $  per 
         	Yes         	No         	Later 	
EMPLOYER TELEPHONE 	DATES EMPLOYED  SUMMARIZE THE TYPE OF WORK 	
(      ) 	FROM 	TO  PERFORMED AND JOB RESPONSIBILITIES 	
ADDRESS 
JOB TITLE 	HOURLY RATE/SALARY STARTING 	
IMMEDIATE SUPERVISOR AND TITLE  $  per 
REASON FOR LEAVING 	HOURLY RATE/SALARY 	FINAL 	
MAY WE CONTACT FOR REFERENCE?  $  per 
         	Yes         	No         	Later

COMMENTS INCLUDING EXPLANATION OF ANY GAPS IN EMPLOYMENT:      
            
            
            
           	 
REFERENCES 	
List the name, relationship, number of years acquainted, and phone number of three references. (No 
relatives please). 
 	YEARS 	PHONE  	
NAME 	RELATIONSHIP 	ACQUAINTED	NUMBER 	
          (        ) 
          (        ) 
          (        ) 	
 
 
 
I certify that all the information I have provided is true, complete and correct.  
I authorize Mail Boxes Etc./The UPS Store to investigate all statements contained on this application. 
Candidate must be eligible to be bonded as Notary if required. I understand that any misrepresentation or 
omission of facts called for is cause for immediate disqualification and/or if employed, immediate 
dismissal. 
 
Furthermore, I understand and agree that if employed, I am free to resign at any time, with or without cause 
and without prior notice, and the employer reserves the same rights to terminate my employment at any 
time, with or without prior notice, except as may be required by law. This application does not in any way 
constitute an agreement or contract for employment. 
 
I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in 
the United States. 
 
 
Applicant’s Signature       	
  Date
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