PRE-INTERVIEW QUESTIONNAIRE

    Smart Park, Inc.
    900 E. 2nd St.
    Essington, PA 19029

    Fax: 610-521-3500

    Email: positions@smartpark.com

    Expresspark South, Inc.

    55 Industrial Highway
    Essington, PA 19029

    Fax: 610-521-0300

    Email: positions@expresspark.net

    (Pre-employment Questionnaire)

    (An Equal Opportunity Employer)


    Personal Information

    Name


    Present Address


    YesNo

    YesNo

    Employment Desired


    YesNo

    YesNo

    YesNo

    Prior Military


    YesNo

    YesNo

    *The Age Discrimination in Employment Act of 1987 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age

    FORMER EMPLOYERS

    (List below last three employers, starting with last one first)


    Most Recent Employer


    Second Most Recent Employer


    Third Most Recent Employer


    Drivers Record Information: (Drivers Only)


    YesNo

    Shift Preferences


    Part-timeFull-timeWeekdays1st Shift2nd Shift3rd Shift

    SundayMondayTuesdayWednesdayThursdayFridaySaturday