Employee Warehouse Personnel Form

EMPLOYEE WAREHOUSE PERSONNEL FORM

Personal Information

Position Information

Availability & Work Schedule

Are you willing to work overtime, night shifts, weekends, and holidays as required by warehouse operations?   Yes   No

Physical Capability & Safety

Are you able to perform essential physical functions of warehouse work, including lifting up to 50 pounds, frequent standing, bending, climbing ladders, and walking prolonged periods?   Yes   No

Certifications & Training

Check all certifications or trainings you currently hold:

Forklift / Powered Industrial Truck Certification  

Hazardous Materials Handling Training  

First Aid / CPR  

Emergency Contact

Employment History (most recent first)

Employer 1

Employer 2

Education

References (Professional)

Reference 1

Reference 2

Reference 3

Legal Disclosures

At-Will Employment: I understand that, if hired, my employment is for no definite period and may be terminated by me or the employer at any time, with or without cause, subject only to the terms of any collective bargaining agreement or written individual employment agreement signed by an authorized representative.

Equal Opportunity: The employer provides equal employment opportunity to all applicants and employees without regard to race, color, religion, sex, national origin, age, disability, or any other characteristic protected by law. Reasonable accommodations for qualified individuals with known disabilities will be considered.

Applicant Certification & Authorizations

I certify that the information provided in this form is true, complete, and accurate to the best of my knowledge. I understand that falsification, misrepresentation, or omission of material facts may be grounds for rejection of my application or, if employed, disciplinary action up to and including termination.

I authorize the employer and its agents to contact my previous employers, educational institutions, references, and listed contacts to verify the accuracy of the information provided and to obtain information regarding my background and qualifications. I authorize any person or organization contacted to provide truthful information about my employment, performance, and suitability.

I consent to background screening (which may include criminal history checks, motor vehicle records, and verification of education and employment) and drug/alcohol testing as a condition of hire where permitted by law. I understand that a conditional offer of employment may be contingent on satisfactory completion of required checks and testing.

I agree to comply with all company safety rules and standard operating procedures, including any personal protective equipment requirements and training. I acknowledge that the employer may provide training specific to warehouse operations and that compliance with such training is a condition of continued employment.

Acknowledgment

By signing below, I acknowledge that I have read and understand the statements above, and that I have had the opportunity to provide any additional information necessary. I understand that this form becomes part of my application file and, if hired, part of my personnel file.

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