New York State — Employment Application

Employment Application

Complete all required fields. Applications are reviewed within 5–7 business days and kept on file for 90 days.

Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, military status, or any other characteristic protected under New York State Human Rights Law or applicable federal law.

Fields marked are required.

Position Information
Desired Shift — select all that apply

Starting salary is $18–$20 per hour.

Personal Information
Eligibility & Legal Requirements
Are you 18 years of age or older?

Applicants under 18 are subject to NYS Child Labor Law restrictions.

Are you legally authorized to work in the United States?

If hired, you will be required to provide I-9 documentation.

Do you require visa sponsorship now or in the future?
Have you previously worked here?
Do you have any relatives currently employed here?
Warehouse Skills & Qualifications

Equipment Operation

Select all equipment you are certified or experienced with:

Certifications & Licenses

OSHA Forklift Certification?
Valid NYS Driver's License?
Any License Restrictions or Suspensions?

Physical Requirements

Note: If you require a reasonable accommodation to perform the essential functions of this role, we will discuss available options during the hiring process in accordance with the NYS Human Rights Law and the ADA.
Can you lift 50 lbs. repeatedly?
Can you stand or sit for 6–8 hours?
Do you require a reasonable accommodation?

Additional Skills

RF Scanner Experience?
Education
Employment History

List your last three employers, beginning with the most recent.

Employer 1 — Most Recent
May We Contact?
Employer 2
May We Contact?
Employer 3
May We Contact?
Professional References

List two non-family professional references. Do not repeat supervisors already listed above.

Background Disclosure
Per Article 23-A of the NYS Correction Law, a conviction will not automatically disqualify you. We consider the nature of the offense, time elapsed, rehabilitation, and relationship to the job. Sealed, expunged, and youthful offender records need not be disclosed.
Have you ever been convicted of a felony or misdemeanor?
Have you ever been terminated or asked to resign?
Schedule Availability
Available Days — check all that apply
Overtime Availability?
Certification & Signature
I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation, falsification, or omission of information may be grounds for rejection of this application or, if employed, immediate termination. I authorize the company to contact former employers, references, and educational institutions listed herein, and I release all parties from any liability for providing such information. I understand that this application is not a contract of employment and that, if hired, employment will be at-will and may be terminated at any time by either party for any lawful reason, with or without cause or notice, unless otherwise provided by law.
Typing your full legal name constitutes your electronic signature.

By submitting, you confirm the information above is accurate. Applications are retained for 90 days per NYS record-keeping guidelines.

This application complies with the NYS Human Rights Law, Article 23-A of the NYS Correction Law, the Americans with Disabilities Act, and applicable federal employment statutes.