Employment Application Independent Delivery Service is an Equal Opportunity Employer Step 1 of 5 20% Step 1: PERSONALName* First Last Todays Date* Start Date* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneMobile PhoneEmail Birthdate* Social Security Number*Form is SSL secured Step 2: JOB INFOPosition Applying For Walker Driver Driver's License #Required if applying for driver positionAre you legally eligible for employment in the United States?* Yes No Are you available between the hours of 7:00am-5:00pm* Yes No Are you 18 years of age or older?* Yes No Would you be able to work on weekends if needed?* Yes No How did you find out that we had openings?* Ad on Our Bag Ad on Our Van Walk In Friend Referred You Other Name of friend who referred youPlease Describe Step 3: EDUCATION HISTORYName of High SchoolNo. of Years1234Did you Graduate?YesNoName of College/UniversityNo. of Years1234Did you Graduate?YesNoName of Trade/Tech SchoolNo. of Years1234Did you Graduate?YesNo Step 4: JOB HISTORYJob #1Company NamePhone NumberJob #1 Address Street Address City State / Province / Region ZIP / Postal Code Start Date End Date Name of SupervisorYour Job TitleDescribe your DutiesJob #2Company NamePhone NumberJob #2 Address Street Address City State / Province / Region ZIP / Postal Code Start Date End Date Name of SupervisorYour Job TitleDescribe your Duties Step 5: SIGN APPLICATIONPaydays are on Friday. If you work on Thursday and if checks are ready, they will be issued after 3pm. We do not guarantee 40 hours per week. Termintation: Employer holds the right to terminate any employee for misconduct on the job, or for poor attendance. Job Performance: 1. You must be able to lift up to 45 pounds and walk an average of 10 miles per day. (Walker Positions) 2. Performance will be monitored on a daily basis by your supervisor 3. Quality, Speed, Accuracy and your ability to follow instructions will determine your continued employment with Media Distribution (a sister company of Independent Delivery Service 4. Overtime, with supervisor approval, may be required from time to time. 5. I understand that delivery cannot be made to or touch a mailbox in any way while working for Media Distribution (a sister company of Independent Delivery Service), and that I am responsible for fines imposed by the United States Postal Service for violation of this Federal Crime. The information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.* I have read and agree to the terms written above. Signature*Please sign this form to verify that you have read and agree to the terms above.Date* Please click to verify:CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.