Is there any additional information involving a change of your name or assumed name that will permit us to check your work record? If yes, please explain.
Has a division of DS Services ever employed you? If yes, where and when?
List names of friends and relatives now employed by DS Services
Have you ever been convicted of a misdemeanor? If yes, please explain.
Have you ever been convicted of a felony? If yes, please explain.
Have you ever received a traffic violation? If yes, please explain.
Do you have a Commercial Driver's License (CDL)?
Do you have reliable transportation to and from work?
Have any present clients of DS Services ever employed you? If yes, where and when?
How did you hear about us?
Emergency Contact Information
Relationship to you?
Place of Employment
Work Telephone Number
Equal Employment Opportunity Questions
Black or African American Hispanic or Latino White National HI or other Pacific Island Asian American Indian Other
Not a veteran Disabled Veteran Vietnam Veteran Other Veteran
Completing These Fields Is Optional
If you complete this information, it may allow DS Services to comply with equal employment opportunity requirements. If you choose not to provide this information, you will not be subject to any adverse treatment from employers and your decision will have no impact on any potential hiring decision.
Please Read This Statement Carefully
I hereby affirm that the information given by me on this application for employment is complete and accurate. I understand that any falsification will be immediate grounds for dismissal. I authorize a thorough investigation to be made in connection with this application. I further understand that I have a right to make a written request within a reasonable period of time for a complete and accurate disclosure of the nature and scope of the investigation. If I am hired, I agree that my employment and compensation can be terminated with or without cause and without notice at any time, at the option of DS Services or myself.
I agree to the terms of this application and certify that all information is true and correct (CLICK HERE TO ACCEPT TERMS)
After you click submit, please wait until you receive a confirmation message that your application has been submitted. If you made errors in your entries, the items that need to be corrected will be displayed before your application will be submitted.