Careers/Employment

Personal Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone
Email*
Social Security Number*
Drivers License Number*
If hired, can you provide proof that you are legally able to work in the United States?*
- Yes
- No
How were you referred to us?*
- Advertisement
- Referral
- Agency
- Walk-in
- Other
Other*
Have you ever been convicted of a criminal offense (felony or misdemeanor)?*
- Yes
- No
Note: An affirmative answer will not necessarily result in a disqualification for employment.
Nature of Offense*
Please state nature of offense(s), date(s), city, state, and disposition of the offense:
List any relatives or friends employed by MANKO Delivery Systems, Inc.

Employment
Position Desired
- Driver
- Administration
- Management
Salary Desired*
What days and hours are you available to work?*
Are you available to work overtime if necessary?*
- Yes
- No
When are you available to begin work?*
Are you able to perform the essential functions of the job for which you are applying?*
- Yes
- No
Note: We comply with the Americans with Disabilities Act and will consider reasonable accommodation measures that may be necessary for eligible applicants to perform essential functions.
What accommodations would you need?*

Skills
Are you able to operate a personal computer?*
- Yes
- No
If yes, what types of computer software do you have proficiency in?
List any warehouse equipment you are able to operate:
What knowledge, special skills and/or individual capabilities do you have which especially prepare you for the position you applied for?*

Education
Highest Level of Education*
Name & City of High School or Trade School*
Did you graduate?*
- Yes
- No
Number of Years Completed*
Degree or Diploma:*
Name & City of College or University
Did you graduate?
- Yes
- No
Number of Years Completed
Degree or Diploma:

Military Service
Have you obtained any special skills or abilities as the result of services in the military?*
Yes
No
If yes, please describe:

Personal References
Please list at least two (2) persons NOT related to you who have known you for at least five (5) years.
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Applicant's Statement
(Check each item as read)
*
The information that I have provided on this application is accurate to the best of my knowledge and may be verified by MANKO Delivery Systems, Inc. or its agents.
*
I authorize all the schools, persons and organizations named in this application to provide any relevant information in their possession or knowledge to the agents of MANKO Delivery Systems, Inc., for use in deciding whether or not to offer me employment and specifically waive any required written notification. I hereby release MANKO Delivery Systems, Inc., my former employers and all other persons from any and all claims, demands, or liabilities arising out of or in any way related to such inquiry or disclosure.
*
I understand that MANKO Delivery Systems, Inc. is committed to maintaining a drug and alcohol free work place. Accordingly, I may be subject to a pre-employment blood test, urinalysis or other drug/alcohol screening. I further understand that if employed, I may be subject to such a drug and alcohol screening if the MANKO Delivery Systems, Inc. has reasonable suspicion to believe that I am under the influence of a drug or alcohol. My consent to submit to such a test is required as a condition of employment and my refusal to consent shall result in a refusal to hire or, if already employed, termination.
*
I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of employment, regardless of the time elapsed before discovery.
*
I understand and agree that the employment for which I am applying for is at-will and such employment may be terminated at any time with or without cause, without prior notice, by either myself or MANKO Delivery Systems, Inc.. There will be no agreement, express or implied between MANKO Delivery Systems, Inc. and me for any specific period of employment, nor for continuing or long term employment, unless made in writing, signed by an authorized representative of MANKO Delivery Systems, Inc..
I have placed my signature in the space provided below only after I have completed the entire application to the best of my ability and have carefully read the statements above.*

Applicant Name*
First Last
Signature*
Date*

Careers & Employment

Moving Together

Step 1 of 7

Personal Information

Employment

Skills

Education

Employment History

Military Service

Personal References

Applicant's Statement