Fillable Printable UPS Application Form
Fillable Printable UPS Application Form
UPS Application Form
Application for Employment—The UPS Store
Name
Date
Last First Middle
Address
Street City State Zip Code
Telephone #
( )
Other Phone #
( )
Social Security #
Referred by
Position(s) applied for Date available
Type of employment desired Full-Time Part-Time Temporary Seasonal
Educational Co-Op
Salary desired If currently employed, may we contact your employer? Yes No
Are you legally eligible for employment in this country? Yes No
If you are under 18 and it is required, can you furnish a work permit? Yes No
Are you available to work overtime if required? Yes No
Have you applied with MBE/The UPS Store before? Yes No
Have you been employed at MBE/The UPS Store before? Yes No
If yes, when?
and at what location?
Do you have any friends or family employed at this location? Yes No
Have you been convicted of a crime in the last seven (7) years? Yes No
If yes, please explain
CONVICTION WILL NOT NECESSAR ILY BE A DISQUALIFICATION FOR EMPLOYMENT.
EDUCATIONAL BACKGROUND
List previous three (3) educational institutions attended, beginning with the most recent.
DEGREE(s)/DIPLOMA(s)
SCHOOL CITY, STATE GRADUATED? EARNED
Yes No
Yes No
Yes No
EMPLOYMENT BACKGROUND
Provide the following information beginning with the most recent employer.
EMPLOYER TELEPHONE DATES EMPLOYED SUMMARIZE THE TYPE OF WORK
( )
FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS
JOB TITLE HOURLY
RATE/SALARY
STARTING
IMMEDIATE SUPERVISOR AND TITLE $ per
REASON FOR LEAVING HOURLY
RATE/SALARY
FINAL
MAY WE CONTACT FOR REFERENCE? $ per
Yes No Later
EMPLOYER TELEPHONE DATES EMPLOYED SUMMARIZE THE TYPE OF WORK
( )
FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS
JOB TITLE HOURLY
RATE/SALARY
STARTING
IMMEDIATE SUPERVISOR AND TITLE $ per
REASON FOR LEAVING HOURLY
RATE/SALARY
FINAL
MAY WE CONTACT FOR REFERENCE? $ per
Yes No Later
EMPLOYER TELEPHONE DATES EMPLOYED SUMMARIZE THE TYPE OF WORK
( )
FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS
JOB TITLE HOURLY
RATE/SALARY
STARTING
IMMEDIATE SUPERVISOR AND TITLE $ per
REASON FOR LEAVING HOURLY
RATE/SALARY
FINAL
MAY WE CONTACT FOR REFERENCE? $ per
Yes No Later
EMPLOYER TELEPHONE DATES EMPLOYED SUMMARIZE THE TYPE OF WORK
( )
FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS
JOB TITLE HOURLY
RATE/SALARY
STARTING
IMMEDIATE SUPERVISOR AND TITLE $ per
REASON FOR LEAVING HOURLY
RATE/SALARY
FINAL
MAY WE CONTACT FOR REFERENCE? $ per
Yes No Later
COMMENTS INCLUDING EXPLANATION OF ANY GAPS IN EMPLOYMENT:
REFERENCES
List the name, relationship, number of years acquainted, and phone number of three references. (No
relatives please).
YEARS PHONE
NAME RELATIONSHIP ACQUAINTED NUMBER
( )
( )
( )
I certify that all the information I ha ve prov ided is true, complete and correct.
I authorize Mail Boxe s Etc./The UP S Store to investigate all statements contained on this application.
Candidate must be eligible to be bonded as Notary if required. I understand that any misrepresentation or
omission of facts called for is cause for immediate disqualification and/or if employed, immediate
dismissal.
Furthermore, I understand and agree that if employed, I am free to resign at any time, with or without cause
and without prior notice, and the employer reserves the same rights to terminate my employment at any
time, with or without prior notice, except as may be required by law. This application does not in any way
constitute an agreement or contract for employment.
I understand that if I am hired, I will be required to provide proof o f identity and legal author ity to work in
the United States.
Applicant’s Signature
Date
