Online Job Application For Employment Opportunities At LEX

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Online Job Application For Employment At LEX Express

LEX Express is an Equal Opportunity Employer. We encourage all qualified individuals to apply for employment.
Please fill out this application as completely as possible before submitting it for consideration. Thank you!

Please do not call us to inquire about your application.
We will call you if we intend on interviewing you.

* Required Field

Personal Information

First Name *
Middle Name
Last Name *
Email
Evening Home/Cell Phone *
Daytime/Cell Phone
Date of Birth

Please list all residency addresses for the past three (3) years, most recent first.

Current Address

Address
Address 2
City - Zip Code
State
How long?

Previous Address 1

Address
Address 2
City, State, Zip
How long?

Previous Address 2

Address
Address 2
City, State, Zip
How long?

Previous Address 3

Address
Address 2
City, State, Zip
How long?

Previous Address 4

Address
Address 2
City, State, Zip
How long?

Previous Address 5

Address
Address 2
City, State, Zip
How long?

Employment Desired

Today's date:
Desired rate of pay?
Position you are applying for:
Referral source:

Are you applying for:

Regular full-time work?Yes No
Regular part-time work?Yes No
Are you available to work nights/weekends?Yes No
Are you available to work overtime if needed?Yes No
Do you have friends or relatives working here?Yes No
If hired, do you have reliable transportation?Yes No
Are you currently employed?Yes No
If so, may we contact your current employer?Yes No
Check if you are under 18 years of age
(Note: If under 18, hire is subject to verification that you are of minimum legal age.)
Have you ever been previously employed with this company (including any affiliations)?Yes No
Do you have the legal right to work in the U.S.? (Note: Proof of identity, and citizenship or immigration status are required as a condition of employment.) Yes No
Have you ever been convicted of a crime other than a traffic violation? (Note: A conviction will not automatically disqualify you for employment. Each case will be individually considered based on specific facts.) Yes No
If Yes to having been previously employed here, please state when and where?
If Yes to having been convicted, please state the nature of the crime, when & where convicted, and the disposition of the case.
Is there any reason you might be unable to perform the functions of the job to which you have applied? Yes No
If Yes, explain below, if you wish.
If hired, on what date can you start work?

Employment History

Please list all employment in the past ten (10) years, most recent job first; include military service.

Employer 1

Name of Employer
Position
Supervisor
Address
City, State, Zip
Phone
Duties:
Employment Dates
Reason for Leaving
Beginning Salary
Ending Salary
May we contact this employer?Yes No

Employer 2

Name of Employer
Position
Supervisor
Address
City, State, Zip
Phone
Duties:
Employment Dates
Reason for Leaving
Beginning Salary
Ending Salary
May we contact this employer?Yes No

Employer 3

Name of Employer
Position
Supervisor
Address
City, State, Zip
Phone
Duties:
Employment Dates
Reason for Leaving
Beginning Salary
Ending Salary
May we contact this employer?Yes No

Employer 4

Name of Employer
Position
Supervisor
Address
City, State, Zip
Phone
Duties:
Employment Dates
Reason for Leaving
Beginning Salary
Ending Salary
May we contact this employer?Yes No

Employer 5

Name of Employer
Position
Supervisor
Address
City, State, Zip
Phone
Duties:
Employment Dates
Reason for Leaving
Beginning Salary
Ending Salary
May we contact this employer?Yes No

Education Information

High School

Name of School
Location
Highest Grade Completed
Did you graduate?Yes No

College/University

Name of College/University
Location
Number of years completed
Course of Study/Degree
Did you graduate?Yes No

Graduate School or Vocational/Technical/Business Training

Name of School
Location
Course of Study/Degree
Did you graduate?Yes No
Some of our customers do not speak English. Do you speak any foreign languages? Yes No
If yes, which language(s)?
Explain any experience, qualifications or skills which you feel make you suited to work at LEX.

Miscellaneous

Within the past ten (10) years, have you ever been terminated or asked to resign by an employer? If Yes, please provide employer, dates and circumstances.

Please identify and explain all periods of unemployment over the past ten (10) years

Unemployment 1

From
To
Reason

Unemployment 2

From
To
Reason

Unemployment 3

From
To
Reason

Unemployment 4

From
To
Reason

Unemployment 5

From
To
Reason

References

Please list below three (3) persons not related to you, who have knowledge of your work performance within the last three (3) years.

Reference 1

Name
Occupation
Address
Phone
Relationship (colleague, friend, etc.)
Years Aquainted
Email

Reference 2

Name
Occupation
Address
Phone
Relationship (colleague, friend, etc.)
Years Aquainted
Email

Reference 3

Name
Occupation
Address
Phone
Relationship (colleague, friend, etc.)
Years Aquainted
Email

Acknowledgement

Please read carefully, check each paragraph, and submit / electronically sign below.

I hereby certify that the information contained in this application is true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any misrepresentation, falsification or omission of information on this application or on any document used to secure employment shall be grounds for rejection of this application or immediate discharge if I am employed, regardless of the time elapsed before discovery.
I hereby authorize the Company to thoroughly investigate the information on my application, my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the Company all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons or entities from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosures.
The Company adheres to a policy of at-will employment which recognizes that each employee and the Company each retain the right to terminate the employment relationship and that the Company retains the right to modify an employee’s position or compensation at any time, with or without cause or notice. No one other than the President has the authority to make any binding promise or enter into any agreement inconsistent with the Company’s at-will policy and any such agreement must be in writing and signed by both parties to be effective.
As a condition of employment, all individuals offered employment are required to submit to a pre-employment drug test.

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