Personal Information:

Full Name *

Phone

Email *

Date of birth *

Last 4 of Social Security Number: *

Address

City

State

Postal code

Previous Employment Information:

Job Title:

Employer Name:

Length of Employment:

Do you have a Valid Driver License?

Additional Information:

What is your availability? Are you able to work weekends and holidays? *

Can you drive a Stick?

Yes

No

Preferred Contact Method:

Are you proficient in disassembling and reassembling furniture?

Yes

No

basic knowledge

Can you lift and carry a minimum of 75 pounds repeatedly throughout an 8-hour day? *

Yes

No

Any Additional Comments or Questions?

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I agree to receive Marketing and Promotional messages from Community Moving Crew LLC at the phone number provided above. This agreement isnt a condition of any purchase. Msg & data rates may apply, message frequencies vary. Text HELP (901) 669-3200 for assistance, reply STOP or OUT to opt out or to unsubscribe at any time.

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