Install Application – SafeRacks

FULL NAME*

First Middle Last

PHONE NUMBER*

What is the best phone number to reach you?

EMAIL*

What is the best email to reach you at?

HOME ADDRESS*

Street Address Address Line 2 City State ZIP Code

WORK CAPACITY*

Full-time

Part-time

Temporary

START DATE*

MM slash DD slash YYYY

WEEKDAY AVAILABILITY*

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

HOW DID YOU HEAR ABOUT US?*

CUSTOMER

INSTALLER

ADVERTISEMENT

JOB POSTING

VENDOR

OTHER

IF OTHER, PLEASE EXPLAIN:*

ARE YOU 18 YRS OR OLDER?*

Yes

No

DO YOU HAVE A RELIABLE VEHICLE TO USE?*

Yes

No

HAVE YOU APPLIED BEFORE TO BE AN INSTALLER?*

Yes

No

IF YES, PROVIDE DATE:*

HAVE YOU EVER BEEN EMPLOYED BY SAFERACKS?*

Yes

No

IF YES, PROVIDE DATE:*

ARE YOU ABLE TO PROVIDE PROOF YOU ARE ELIGIBLE TO WORK IN THE U.S.?*

Yes

No

DO YOU AUTHORIZE SAFERACKS TO RUN A BACKGROUND CHECK AT THE FINAL STAGE?*

We require background checks on all independent authorized installers who meet our minimum qualifications and are a good fit. We will cover the cost to have a background check run and validate the information provided during the application process.

Yes

No

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