We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

Please provide the following information.

Name * Address * City * State * Zip Code * Email * Phone * Fax Position Applying For: General Information What is the best time to contact you at home? Have you ever filed an application with us before? Yes    No Have you ever been employed with us before? Yes    No Do any of your friends or relatives, other than spouse work for Victory Worldwide Transportation? Yes    No Are you currently employed? Yes    No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes    No What date are you available for work? What is your desired salary range? Are you currently on "lay-off" status and subject to recall? Yes    No Can you travel if a job requires it? Yes    No Do you have a Class A or B drivers license? Yes    No Education Name and Address of High School Attended: Name and Address of College Attended: Describe any specialized training, apprenticeship, skills and extra-curricular activities you have: Describe any moving industry training you may have: Employment Experience Start with your present or last job. You may exclude organizations which indicate race, color, religion, gender, national origin disabilities or other protected status Employer #1 Address Phone Job Title Supervisor Reason for Leaving Dates Employed Hourly Rate/ Salary Work Performed Employer #2 Address Phone Job Title Supervisor Reason for Leaving Dates Employed Hourly Rate/ Salary Work Performed Employer #3 Address Phone Job Title Supervisor Reason for Leaving Dates Employed Hourly Rate/ Salary Work Performed Employer #4 Address Phone Job Title Supervisor Reason for Leaving Dates Employed Hourly Rate/ Salary Work Performed List professional, trade, business, or civic activities and offices held: Additional Information Other Qualifications- Summarize special job-related skills and qualifications acquired from employment or other experience. Have you ever worked for a United Van Lines agent in the past? Yes    No Have you had training on the 400N / UVL1 Tariff, United Van Lines HOD systems, Compusource Vans, or Microsoft Office? Please Explain Please state any additional information you feel may be helpful to us in considering your application: Please submit three professional and three personal references including name, address, phone number and relationship:              (*Indicates a Required Field)