Employment Application

Please fill the following documents

Items marked This form are completed on the application below. Items marked Fill online open a secure online form (after you are hired). Questions: bwtansport@bwtllc.net.

1. Application for employment.This form ↓
2. W-4 (Employee’s Withholding Certificate).Fill online
3. M-4 (Massachusetts Employee’s Withholding Exemption Certificate).Fill online
4. Employment eligibility verification (Form I-9).Complete Section 1 on your first day and bring your identity documents no later than the third business day after you start.Download
5. Employee handbook acknowledgment.Signed with the office at hire.At hire
6. Direct deposit enrollment (optional).Ask the office for the form at hire.At hire

Application for Employment

All information is kept confidential. Fields marked * are required.

Full Legal Name (Last, First, M.I.) *

First

Last

Home address: Street address *

Apt / Unit

City *

State *

ZIP code *

Phone Number *

Email Address *

Position Applying For *--- Select Choice ---DispatchOffice Administration / Office ManagerPayroll & FinanceHuman ResourcesSafety & ComplianceFleet / MaintenanceSales & Business DevelopmentITAnalystOther

If Other, which position?

Employment Type Desired *

• Full-time
• Part-time
• Either

Preferred Office Location *

• Northborough
• Worcester
• Dover
• No preference

If hired, on what date can you start working? *

Can you work weekends? *

• Yes
• No

Are you legally authorized to work in the United States? *

• Yes
• No

Are you at least 18 years of age? *

• Yes
• No

High School: name of school

City / State

Can Acknowledgment Position

Years completed

Graduated?

• Yes
• No

Degree / Major

College: name of school

City / State

Years completed

Graduated?

• Yes
• No

Degree / Major

Technical School: name of school

City / State

Years completed

Graduated?

• Yes
• No

Degree / Major

Other education, training or certifications (optional)

Employer #1: employer name *

Address

City

State

ZIP code

Position held *

From (month/year) *

To (month/year)

Supervisor name

Supervisor phone

Reason for leaving

Employer #2: employer name

Address

City

State

ZIP code

Position held

From (month/year)

To (month/year)

Supervisor name

Supervisor phone

Reason for leaving

Employer #3: employer name

Address

City

State

ZIP code

Position held

From (month/year)

To (month/year)

Supervisor name

Supervisor phone

Reason for leaving

Reference #1: full name (not a relative) *

Relationship to you

Phone number *

Address

Reference #2: full name (not a relative) *

Relationship to you

Phone number *

Address

Reference #3: full name (not a relative) *

Relationship to you

Phone number *

Address

Application Acknowledgment *

• I acknowledge that the information contained in this application is true and complete to the best of my knowledge, and I understand that any false information on this application may be grounds for termination.

Authorization to Verify Information *

• I authorize BWT LLC to verify the information I have provided in this application, including contacting my former employers, schools and references, and I release them from any liability for providing that information.

At-Will Employment Acknowledgment *

• I understand that, if hired, my employment with BWT LLC will be on an "at-will" basis. This means my employment may be ended at any time by either BWT LLC or me, with or without notice and with or without cause, and that nothing in this application creates a contract of employment or a guarantee of continued employment.

Applicant Printed Full Name (serves as your electronic signature for all acknowledgments above) *

Date *

Electronic Signature Consent *

• By typing my name above and submitting this form, I am electronically signing this application and all of the acknowledgments contained within it, with the same legal effect as a handwritten signature.

Submit