If you are human, leave this field blank.First Name *Last Name *What is your email? *What is your phone number ? *Month year of birth *JanFebMarAprMayJunJulAugSepOctNovDecDay year of birth *12345678910111213141515171819202122232425262728293031Year of birth *2017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900What date can you start working? *What town do you live in? *Our employees will occasionally be subjected to random drug and alcohol testing. Excluding medical prescriptions, will you be able to pass a drug test for illegal narcotics? *YesNoDo you have any felonies? *YesNoWhat was the felony for? *SelectTheftAssaultRobberyOtherPlease describe *This job is VERY physically demanding. Do you have health issues that would prevent you from performing rigorous physical activity for 10-12 hrs per day? *YesNoHave you ever worked for a moving company before? *YesNoPlease check which best describes the moving company you have experience working for *A national van line (Mayflower, North American, etc.)A local moving companyOther (appliance delivery, rent a center, or other large furniture delivery company)How many months have you worked for a moving company? *Do you have a class c, cdl, or no drives license license *CLASS CCDLNO DRIVERS LICENSEWe offer our employees the option to be picked up and brought to work, and dropped of at the end of the day for .33 cents per mile. Will you want this service *YesNoWhat days are you available to work? *MondayTuesdayWednesdayThursdayFridaySaturdaySundayYou must be available to work at LEAST one weekend day, if not both. You can take two days off in a week if needed.Do you live more than 45 minutes away from Windam, Maine? *YesNoAre you consistently able to go on 2-4 overnight trips on short notice if needed?YesNoThis MAY affect whether or not you get a job with Liberty Bell, do you still want to answer no?Submit