Patt's Moving Center, LLC
17719 Storage Rd.  Suite A
Omaha, NE  68136
402-895-7288

If you're looking for a position with a great company, look no
further! Patt's Moving Center offers excellent career opportunities
in many different areas of our organization and is seeking talented,
imaginative and goal oriented people to share and fuel our continued
growth and success, people just like YOU! Please take the time to
fill out the application below.  Email us if you have any questions.
US DOT# 1532580                           MC# 570964                                     NPSC# M-14194
402-895-7288  
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Copyright © 2007 Patt's Moving Center, LLC. All rights reserved.  The U-Haul brand name and images are a Trademark of U-Haul International.
First Name            MI            Last Name                SS Number
   Address                              City                   State      Zip Code
Position Desired            Phone Number              Email Address
Birthday
 Desired Salary
Do you have a valid drivers license?
 Yes
No
Are you able to lift over 75lbs?
 Yes
No
Are you able to make multiple trips up and
down stairs with boxes and/or furniture?
 Yes
No
Can you safely drive a 26' straight truck?
 Yes
No
Are you able to work on short notice?
 Yes
No
How often do you check your E-Mail?
Availability  
Please describe what days and hours you can work.
Education
          Name of School           Major               Degree/Diploma
High
School
College
Trade/
Other
Special
Skills
Employment History
Employer #1
Address
Supervisor                               Phone
Position Held                            Last Day    
Duties
Salary                       Reason for Leaving
May we contact this
employer?
Yes
 No
Employer #2
Address
Supervisor                               Phone
Position Held                            Last Day    
Duties
Salary                       Reason for Leaving
May we contact this
employer?
Yes
 No
References (Non Family Members)
        Name                      Phone                  Relation
I CERTIFY THAT THE INFORMATION CONTAINED IN
THIS APPLICATION IS TRUE AND COMPLETE TO THE
BEST OF MY KNOWLEDGE AND UNDERSTAND THAT
ANY FALSE INFORMATION ON THIS APPLICATION
MAY BE GROUNDS FOR NOT HIRING ME.
Electronic Signature
Type full name in ALL CAPS
Date