Self-Storage Facility
Proudly serving the Omaha area since 1974
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Home
About
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Amenities
Pay My Bill
Locations
Bellevue/South
1506 Chandler Road
2715 Chandler Road West
Central
4550 F Street
Aksarben
3320 S. 60
th
Street
Northwest
3349 Keystone Drive
10607 Bedford Ave.
3303 N. 147
th
Street
Millard
11425 P Street
Contact
Forms
Employment Application
Applicant Information
Last Name
First Name
M.I.
Date
Date Format: MM slash DD slash YYYY
Street Address
Apartment / Unit #
City
State
Zip
Phone
Email
Date Available
Date Format: MM slash DD slash YYYY
Desired Salary ($)
Position Applied for
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever worked for this company?
Yes
No
If yes, when?
Have you ever been convicted of a felony?
Yes
No
If yes, explain
Education
High School
Address
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Did you graduate?
Yes
No
Diploma
College
Address
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Did you graduate?
Yes
No
Diploma
Other
Address
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Did you graduate?
Yes
No
Diploma
References
Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Previous Employment
Company
Phone
Address
Supervisor
Job Title
Responsibilities
Starting Salary ($)
Ending Salary ($)
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
May we contact your previous supervisor for a reference?
Yes
No
Reason for Leaving
Company
Phone
Address
Supervisor
Job Title
Responsibilities
Starting Salary ($)
Ending Salary ($)
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
May we contact your previous supervisor for a reference?
Yes
No
Reason for Leaving
Company
Phone
Address
Supervisor
Job Title
Responsibilities
Starting Salary ($)
Ending Salary ($)
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
May we contact your previous supervisor for a reference?
Yes
No
Reason for Leaving
Military Service
Branch
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Rank at Discharge
Type of Discharge
If other than honorable, explain:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
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