Relocation Systems _ Full Service Moving Provider, located in Norther Virginia.

About Us

Affiliates & Memberships

Move/Project Management

ALL FIELDS ARE REQUIRED FOR PROCESSING!

PERSONAL DATA
DATE:	*
Name:
Last:	*
First:	*
M.I.
E-Mail	*
Current Address:
Street and Number:	*
City:	*
State:	*
Zip:	*
Day Phone Number:	*
Eve. Phone Number:	*
Are you 18 or older?	Yes No *
For driver jobs only:
Do you have a valid driver's license?	Yes No *
Class of License:	*
Have you ever had your driver's license suspended or revoked in the last three years?	Yes No *
(If yes, please explain)

EMPLOYMENT DATA

Position Desired:

Available Start Date:

Desired Salary:

Hours Available to Work:

How did you learn about this position?

Employee Referral

Name: *

Newspaper

Job Fair

State Agency

Other

If other, please explain:

EMPLOYMENT HISTORY
List your work record beginning with your current or most recent employer.
If unemployed write "unemployed". A resume may be attached but not substituted.

Employer 1

1. Current/Previous Employer:
Telephone:
Address:
Hire Date:
End Date:
Position Title:
Reason for Leaving:
Starting Salary:
Ending Salary:
Supervisor's Name:

Employer 2

2. Previous Employer:
Telephone:
Address:
Hire Date:
End Date:
Position Title:
Reason for Leaving:
Starting Salary:
Ending Salary:
Supervisor's Name:

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize and agree to cooperate in a thorough investigation of all statements made herein and other matters relating to my background and qualifications. I understand that any investigation conducted may include a request for employment and educational history, credit reports, consumer reports, investigative consumer reports, driving record, and criminal history. I authorize any person, school, current and former employer, consumer reporting agency, and any other organization or agency to provide information relevant to such investigation and I hereby release all persons and corporations requesting or supplying information pursuant to such investigation from all liability or responsibility to me for doing so. I understand that I have the right to make a written request within a reasonable period of time for complete disclosure of the mature and scope of any investigation. I further authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the job for which I am being considered or any future job in the event that I am hired.

I understand I may be required to successfully pass a drug and alcohol screening examination. I hereby consent to a pre_and/or post_employment drug and alcohol screen as a condition of employment if required.

I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED , I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.

I have read, understand, and by my signature consent to these statements

Typed Signature:

Date: