Grant Supplies

Position Applying For:

* Location:

South Hackensack, NJ

* Applicant’s Fist Name:

* Applicant’s Last Name:

* Email Address:

* Telephone Number:

* Street Address:

Apt. # / Floor:

* City

* State

* Zip Code

* How Did You Hear About Us

* Type of Employment:

* Are you over the age of 18?

Yes No

* Are you authorized to work in the US?

Yes No

* Are you currently employed?

Yes No

If currently employed may we contact your employer?

Yes No

* Have you worked for Grant Supplies before?

Yes No

What date are you available to start work?

* Are you able to work the scheduled hours?

Yes No

Special Skills:

Education
Name and Location	Course of Study / Major	Degree / Certificate Obtained

Reference
Name	Relationship	Phone Number

* Click "Browse" to attach your resume (PDF only).

* Can you regularly lift and move an object that weighs 10-50 lbs.?

Yes No

* Can you occasionally lift and move an object that weighs more than 50lbs?

Yes No

* Can you frequently stand, walk, bend, kneel, reach, push, and pull?

Yes No

* Can you work in both hot and cold working environments?

Yes No

* Can you regularly use hands and arms to grasp, hold, handle, reach, and carry?

Yes No

* How many years of warehouse experience do you have?

What equipment in the warehouse do you have experience operating? (ie. Forklift or electrical pallet jack)

* Can you regularly lift and move an object that weighs 10-50 lbs.?

Yes No

* Can you occasionally lift and move an object that weighs more than 50lbs?

Yes No

* Can you frequently stand, walk, bend, kneel, reach, push, and pull?

Yes No

* Can you work in both hot and cold working environments?

Yes No

* Can you regularly use hands and arms to grasp, hold, handle, reach, and carry?

Yes No

* Do you have a valid DOT Medical Card?

Yes No

* Are you able to pass the DOT physical?

Yes No

* Do you have a clean driving record?

Yes No

* Do you have experience doing deliveries in an oversized vehicle?

Yes No

* Are you familiar with the commercial routes in NJ and NY?

Yes No

What equipment in the warehouse do you have experience operating? (ie. Forklift or electrical pallet jack)

Employment Verification Authorization Form

I affirm that the information I have provided is accurate and I understand that any misrepresentation or material omission will be sufficient cause for immediate cancellation of my application or termination of employment if I am hired before inaccuracies are discovered.

I give authorization to Grant Supplies to contact and obtain relevant information from all references, past employers, and educational institutions and to verify the accuracy of the information I have provided in this application.

If I am hired, I understand that Grant Supplies reserves the right to terminate my employment, with or without cause and prior notice, except as may be required by law. I understand that submission of this completed application does not constitute an agreement or contract for employment for any specified period or duration and that no representative of Grant Supplies, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that such assurances must be made in writing and signed by an authorized officer.

I understand that if I am hired, I will be required to provide proof of identity and legal U.S. work authorization. I have read and understand the foregoing and seek employment under these conditions.

By signing below, I hereby agree to and accept the conditions for this application.

*Signature Clear Signature

*Print Name:

Date

11/23/2024

Conditions