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Name*

Email*

Phone*

What City Do You Currently Live In?*

What State Do You Currently Live In?*

What Type of Employment Are You Looking For?*

What Position are you Applying For*

Are You Currently Employed?*

Yes
No

Present or Previous Employer*

Include Address & Phone Number

Present or Previous Employer Dates of Employment*

Present or Previous Employer duties and reason for leaving*

Previous Employer 2*

Include Address & Phone Number

Previous Employer 2 - Dates of Employment*

Previous Employer 2 duties and reason for leaving*

Driving record for past 3 years*

Highest education achieved*

Bio

Please take a moment to tell us a bit aout yourself, and include any certifications, courses, or licenses that may be useful for us to know about you. This is also a place to say who referred you. Tell us why you want to do this kind of work, or maybe what makes you a good candidate. You could even tell us a joke! We would love that.

Consent*

I hereby authorize BenjaminX Companies to thoroughly investigate my references, work records and other information provided or related to my suitability for employment. I also understand and agree that due to the sensitive nature of the items we carry and the level of security granted to us by our customers, BenjaminX will run a criminal background check prior to final appointment. *

I agree

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319.234.3395