New Application Position(s) Applied For: Date of Application:* MM slash DD slash YYYY Previous Application Yes No If yes, when? Former Morris Employee (you, the applicant)? Yes No Date From: MM slash DD slash YYYY Date To: MM slash DD slash YYYY Referral Status:* Career Center Morris Employee Advertisment Walk-In Friend/Relative Referral Name: Name:* First Middle Last Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Email: If applying for a position that requires driving, have you been ticketed for a moving traffic violation? Yes No If yes, please explain:Date Available: MM slash DD slash YYYY Type of Employment Desired:* Full-Time Part-Time Temporary Will You Work Overtime: Yes No Hours Desired:The following questions will help us qualify you for employment at Morris, Inc., YOU ARE NOT REQUIRED TO RESPOND.Do you have a valid driver's license? Yes No State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Number: CDL? Yes No State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Type of CDL: A B HazMat End Dump CDL Endorsements: Double/Triple Trailers Passengers Tank Vehicles Hazardous Materials Combination Tank & Hazardous Restrictions Yes No Explain:Equipment Operated: Roller Blade Tractor - Trailer (Semi) Concrete Mixer Truck Loader Scraper Dozer Backhoe Other Roller Years Operated?Blade Years Operated?Tractor-Trailer (Semi) Years Operated?Concrete Mixer Truck Years Operated?Loader Years Operated?Scraper Years Operated?Dozer Years Operated?Backhoe Years Operated?Other Equipment Operated:IF hired, are you interested in learning new skills? Yes No What skills?IF hired, are you willing to work out of town, nights, weekends? Yes No IF hired, are you willing to work or cross-train in other areas besides the position or department originally hired for: Yes No Do you have special training or skills? Please list:EMPLOYMENT HISTORYPlease give accurate and complete information. Start with your present or most recent employer. Include military history.Do you have a resume?: Yes No Please attach your resume.Max. file size: 128 MB.EMPLOYER 1:* Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone:*May We Contact?:* Yes No Later Date Employed From:* MM slash DD slash YYYY Date Employed To:* MM slash DD slash YYYY Starting Hourly Rate/Salary:Final Hourly Rate/Salary:Supervisor's Name & Title:* Your Title:* Summarize Work Performed:*Reason for Leaving:*EMPLOYER 2: Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone:May We Contact?: Yes No Later Date Employed From: MM slash DD slash YYYY Date Employed To: MM slash DD slash YYYY Starting Hourly Rate/Salary:Final Hourly Rate/Salary:Supervisor's Name & Title: Your Title: Summarize Work Performed:Reason for Leaving:GENERAL REFERENCES(Non-Relatives)First Reference: First Last Address: City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone:Relationship: May We Contact? Yes No Second Reference: First Last Address: City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone:Relationship: May We Contact? Yes No Third Reference: First Last Address: City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone:Relationship: May We Contact? Yes No GENERAL EDUCATIONHighest Level Completed:Select123456789101112GEDCollege: Yes No Name of college: College City & State City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Year(s) Attended: Did you receive a degree?: Yes No Type of degree?: BS/BA Masters PhD Vo Tech: Yes No Name of Vo Tech: Vo Tech City & State: City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Year(s) Attended: Did you receive a degree?: Yes No Type of degree?: 1-Year Diploma 2-Year Diploma ACTIVITIES, HOBBIES, or SPECIAL INTERESTS(Please omit organizations that indicate your race, color, religion, sex, national origin, age, disability or other protected status.)List any Activities, Hobbies, or Special Interests:SUPPLEMENTAL INFORMATIONHave you been convicted of a felony in the last seven (7) years?(Conviction will not necessarily disqualify you.) Yes No If yes, please explain:Do you have a minimum salary requirements? Yes No What are they?If yes, will you automatically reject all offers or positions with a lesser starting salary? Yes No Please include additional information which you feel may be helpful to us in considering your application:State briefly why you would like to work for Morris, Inc.:APPLICANT'S ACKNOWLEDGEMENTThe information provided in this application for employment is true, correct, and complete. If employed, any mis-statement or deliberate omission of fact on this application will result in my dismissal. If I am a candidate for employment and provide false or misleading information, my application or offer of employment will be cancelled indefinitely. I authorize a complete investigation of all information provided in this application for employment. I hereby release from liability Morris, Inc., and its representatives in securing job-related information from the sources I have listed herein. I also release my sources to provide such job-related information as may be requested by Morris, Inc. My signature below indicates that I have read, understand, and consent to the above conditions of employment, and that I have been informed of and agree to the following: 1.) My application for employment will be considered current and active for a period of 45 days following date of submission. If I am considered for a position at any time after today, I will be asked if anything on my application has changed, and if so, I will be required to update my application accordingly. A new application will be required 45 days from today if I still wish to be considered for employment. 2.) Morris, Inc., is an equal opportunity employer. The employer does, not discrimination in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law. 3.) Acceptance of an offer of employment does not create a contractual obligation upon Morris, Inc., to continue to employ me. Any employment relationship with this organization is of an “at will” nature, meaning I may resign at anytime, and Morris, Inc., may terminate my employment at anytime, with or without cause or without prior notice. 4.) If I accept an offer of employment from Morris, Inc., I understand that I will be provided a copy of the employee handbook, safety policy, drug-free workplace notice, and other general information as pertains to my employment with this company. I hereby agree to read such materials and abide by the guidelines set forth in each. 5.) If I accept an offer of employment from Morris, Inc., I will be requested to provide my consent to: 1) a drug screen, and 2) enforcement of the Morris, Inc., drug and alcohol policy provisions. 6.) An offer of employment made by Morris, Inc., as a result of this application is specifically conditioned upon completing Medical History Information and establishing the fact that I can perform essential functions for job with or without reasonable accommodations.NameThis field is for validation purposes and should be left unchanged.
