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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