Xpress Services - The Right Choice Every Time

Xpress Services Pre-Screening Job Application

Xpress Services is a national provider of innovative services and merchandising solutions in all classes of retail trade. Unlike our competitors, we do not use Independent Consultants, but rather chose to engage in a mutually beneficial employee / employer relationship.

Once you have successfully completed this form, and have been selected for employment by Xpress Services, you will receive an application from our staffing department outlining our policies and procedures.

Xpress Services is an Equal Opportunity Employer. It does not discriminate against applicants or employees on the basis of race, religion, color, national origin, age, sex, sexual orientation, disability, veteran status or any other basis protected by law.

(fields with an * are required)

*First Name:
Middle Initial:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
*Home Telephone:
Cell Phone:
Fax Number:
*Email Address:
*Confirmation Email Address:
Best method of contact:	Home Cell Email

Yes No

Are you currently employed? *

Yes No

Do you have a Social Security Card? *

Yes No

Are you prevented from lawfully becoming employed in this country because of visa or immigration status? *

Yes No

Have you been convicted of a felony in the last 7 years? *

Explain:

Yes No

Can you lift at least 25 pounds? *

Yes No

Can you lift at least 50 pounds? *

Yes No

Are you at least 18 years of age? *

Yes No

Can you stand on your feet for extended time? *

Yes No

Do you have a home computer and internet connection? *

Yes No

Can you Speak and Write in English? *

Yes No

Do you own a Fax machine?
(Owning a fax machine is a requirement for employment) *

Yes No N/A

Are you willing to purchase a fax for this position? *

Yes No

Do you own a printer? *

Yes No

Have you been employed by RMX before? *

Yes No

Have you been employed by Advantage Sales and
Marketing, LLC before? *

Are you currently employed by another MarketWideAdvantage (MWA)
company? (Campaigners, High Frequency, Marketration, Superfridge) *

Yes, currently No No, not currently but have in the past

Which cities and towns could you cover? (comma separated) *

Yes No

Do you have a valid Drivers License? *

Yes No

Do you have a good driving record?

Explain:

Yes No

Do you own a vehicle?

Explain:

Yes No

Do you carry at least state minimum auto insurance?
(Note: You must be listed as a driver on the policy)

Date you can start:

Maximum # of hours you can
work per week:

When are you available:
(Check all that apply)

Mornings	Afternoons	Evenings
Monday	Tuesday	Wednesday
Thursday	Friday	Saturday
Sunday

Please specify time ranges:
(Check all that apply)

	4am-8am			8am-12pm			12pm-4pm
	4pm-8pm			8pm-12am			12am-4am

(Check all that apply)

Mass Retail Stores (Wal Mart, Target, K-Mart)
Number of years:		Position held:

Grocery Stores
Number of years:		Position held:

Department Stores
Number of years:		Position held:

Drug Stores
Number of years:		Position held:

Consumer Electronics
Number of years:		Position held:

Office Supplies
Number of years:		Position held:

Home Centers
Number of years:		Position held:

Skill Levels: 0=No experience 1=Some experience; may need training 2=Does not need training 3=Very experienced 4=Expert; could train others
(Check all that apply)	Years of Experience	Skill Level	Would you accept this work?
Store Resets (whole store)
Category Reset (section)
Display Building (ENDCAPS & POWERWINGS)
Inventory
Large Assembly (Grills)
Auditing
New Item Cut-ins
Mystery Shopping
Read and implement POG
Product Knowledge Training
Product Demonstration
Selling using a sell sheet
Web Based Reporting

Reference # 1 (Work References are Required)
*Name:
*Phone:
*Email:
*Company:
*How Long with Company?:
*Relationship with Company/Person?:

Reference # 2 (Work References are Required)
*Name:
*Phone:
*Email:
*Company:
*How Long with Company?:
*Relationship with Company/Person?:

Copy & paste your resume:
or attach your resume:

The only accepted formats for resume submission are Microsoft Word (.doc)
or Word Pad (.wpd). Our system will not correctly upload any other format.

Please give a brief description of why you would like to work for Xpress Services:

How many resets have you done in the past 5 years and in which categories?

Please define IRC, UPC, and POG

Are you comfortable with a flexible schedule with no guarantee of hours?

Do you own Basic Tools (hammer, screwdriver and cordless drill)?

How did you hear about Xpress Services?

Were you referred by a current associate? If so, who
Web site - which one?
Advertisement - where?
Other - where?
If you are applying in reponse to a job specific ad, please enter exact job code:

****Please read before signing****

I understand that Xpress Services employees are employed at-will and nothing in this Pre-Screening Job Application, the company's statements or personnel guidelines, or in my communications with any company official is intended to create an employment contract between the company and me. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon the company unless it is made in writing and signed by the company President. I understand that if an employment relationship is established, I have a right to terminate my employment at any time. I also understand that the company retains the absolute right to terminate my employment at any time with or without cause and with or without prior notice. I also understand that the company has the right at any time, with or without notice, in an individual case or generally, to unilaterally change, modify, revoke, suspend or terminate its policies.

I understand that Federal Law prohibits the employment of aliens who are not authorized to work in the United States. As part of the I9 verification process, employees will be required to provide documentation for examination to determine employment eligibility and evidence of identity.

Failure to provide this documentation will result in a denial of employment.

I hereby certify that the statements made by me in this Pre-Screening application are true and accurate, and I further understand that Xpress Services has and will rely upon the statements made by me in this application. In the event that Xpress Services determines that I have made any false statements, misrepresentations or failed to disclose any information requested herein, Xpress Services reserves the right in its sole and absolute discretion to decline further consideration of this application.

*I have read and agree with the statement above: