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Toggle navigation Home FAQ History Locations New Customers Science of Ice Jobs Job Application If you need help completing this application, please notify the person who sent you this form. Every effort will be made to have someone help you in a reasonable amount of time. This application will be held on active status for 90 days, beyond which you may reapply. Personal Information First Name * Middle Name Last Name * Street Address * Zip Code * City State Email * Phone * Location * Relatives or Friends Employed By Position Date of Birth * Are you 18 years of age or older? Yes No If under 18, do you have a work permit? Yes No If you are not a U.S. citizen, do you have the right to work in the U.S.A.? Yes No Date to Begin Training Date to Start if Hired Salary Desired ($) Availability Sunday Monday Tuesday Wednesday Thursday Friday Saturday How did you find out about the job opening at the Company? Education Information High School Grade Completed Did not attend 9 10 11 12 Did you graduate? Yes No College Years Completed Did not attend 0 1 2 3 4 5 Did you graduate? Yes No Graduate / Technical School Years Completed Did not attend 0 1 2 3 4 Did you graduate? Yes No U.S. Military Service Yes No Rank / Years of Service Active Reserves / Guard Yes No Employment History Add (CDL Drivers Provide Last 10 Years) I have no employment history Driving Experience Type of Vehicles Driven Car Bus Van Straight Truck Tractor Trailer Can you drive a stick shift? Yes No Commercial Vehicle Employer's Name Endorsements Class Driver's License # State Year Expires Type CDL Operator Has your license ever been suspended? Yes No How long? Please explain why Do you have auto insurance? Yes No Has your auto insurance ever been canceled or refused? Yes No Traffic Tickets (Convictions - Past 3 Years) Traffic Tickets Add Accident Record (Past 3 Years) Accidents Add References Add Terms and Conditions It is our policy to seek and employ the best qualified personnel and to consider all applicants without regard to race, color, religion, age, sex, national origin or disability that can be reasonably accommodated without undue hardship. I understand that neither this completed application nor a commitment of employment, if made, constitutes a contract of employment. Further, that if I am hired my employment will be at-will, meaning that either myself or my employer may terminate the employment relationship at any time, with or without cause and with or without notice. Offers of employment, if made, become effective only when and if all hiring requirements are satisfactorily completed. Physical exams, drug/alcohol screening, background checks including employment, criminal and driving records may be required. Licensing or other certifications may be required for certain positions. I authorize the investigation of all statements I make on this application or any interviews I may have in the future. If offered employment, I authorize the background records and reference checks required for employment and release those contacts to give any and all pertinent information, personal, medical, or otherwise. I further release and agree to hold harmless this organization and all parties providing information from all liability for any claims or damage that may result from furnishing such information to you. If hired, I agree to comply with all standards set by the employer for workplace conduct, performance and reliability. The information I will give on this application will be true and complete to the best of my knowledge and belief, with my understanding that any false information given now or at any interview will be sufficient reason for immediate dismissal. Part §382.701 of the regulation. By submitting this application, you provide consent to to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse for the duration of my employment. License Information If you are applying for a driving position, please verify that your license information is correct. License Number License State A worker's appearance determines how the customers perceive the Company. To convey the image wants, the following is required of Personnel when ON or USING Property: Uniform Clothing (shirts, pants, shorts, jackets and hats) must be issued. When wearing shorts, socks are to be plain white or white with a blue stripe. Workers out of uniform will not be permitted to work until they are in compliance. This may include renting uniforms for the day from the manager. No Tobacco Products (Smoking or Dipping) while working. Necklaces, bracelets and such are to be kept hidden below uniforms. Earrings, piercings of any kind and ear gauges are not permitted. Summer Holidays All employees of The Company are expected to work on weekends and holidays. Especially, the busy main summer holidays Memorial Day, 4th of July and Labor Day. The days preceeding and following those holidays are busy as well. Please keep this in mind, if it is a problem, it could affect your employment opportunity with this company. By clicking Submit, I acknowledge reading and accept the Terms and Conditions. Submit Save × Previous Position Start Date End Date Company Name Address City State Zip Supervisor Name Position Contact Phone Contact Email Reason For Leaving Close Save × Traffic Ticket Date Type Close Save × Accident Date Who Cited No One Me Them Nature Close Save × Reference Name Address Phone Relationship Business Years Known Close Save 6045 Bridgetown Road, Cincinnati, OH 45248 sales@homecityice.com.com 1-800-759-4411...