Personal data record Personal data record – Dallas Personal data: * Personal data: Name Name Last Name Last Name Email: Phone * Date of Birth: * Marital Status: * SingleMarriedSeparatedDivorcedWidowedCohabiting (o Common-Law) Number of dependents/dependent persons: * Address * Address Address Address City City State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State Zip/Postal Zip/Postal Social Security Number (SSN): What languages do you speak? English Spanish French Chinese What is your gender? Male Female Non-binary Prefer not to say Other Do you have your own transportation? Yes No Do you have any work experience? Warehouse Associate General Labor / General Laborer Material Handler Picker / Packer Order Picker Shipping & Receiving Clerk Inventory Clerk / Inventory Control Clerk Inventory Clerk / Inventory Control Clerk Sit-down Forklift Operator Stand-up Forklift Operator Reach Truck Operator Cherry Picker Operator Pallet Jack Operator Clamp Truck Operator Turret Truck Operator Warehouse Lead / Team Lead Dock Worker / Loader / Unloader Other Direct deposit letter: "Drag a file here or click to upload it." Choose File Maximum file size: 5MB “Photo of your identification and social security:” * "Drag a file here or click to upload it." Choose File Maximum file size: 5MB Emergency contact Personal data: * Personal data: Name Name Last Name Last Name Phone * Relationship: Email Street Address: Personal Data Processing: Your privacy is important to us. By completing this form and providing your data, you are consenting to us processing your data in accordance with our Privacy Policy. The collected data will be used solely for purposes related to human resources management and compliance with legal obligations. For more details, please consult our full policy at the provided link. If you have any questions, please contact us at [email protected]. By submitting this form, you confirm your agreement with our personal data processing practices. Signature * Clear Send If you are human, leave this field blank.
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