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EMPLOYMENT APPLICATION

Thank you for taking the time to complete our online employment application. Please fill out the application below as completely as possible. This application will take approximately 15 minutes to complete.

 

Personal Information

Are you at least 18 years of age and do you have the legal right to work in the United States?
Yes No
 
First Name (Required)
Middle Name
Last Name (Required)
Nickname / Preferred Name
Street Address / Apartment  
City
State / ZIP Code     
Home Phone (Required) - Area code and phone number
Other Phone - Area code and phone number
Email Address
Job Interest - Please state which job you are applying for.

 

Availability

Are you willing to work temporary?
Yes No
Are you looking for a full-time career position?
Yes No
Are you looking for contract positions?
Yes No
When are you available to start?     
What weekday hours are you available?
What weekend hours are you available?
How many hours are you willing to work in a week?  
Are you willing to work overtime?
Yes No
What is the minimum pay you desire? Hourly rate or annual salary
How much notice will you need if a position is offered to you?
How many miles are you willing to travel to a position?
What type of work are you looking for??
     

Education

Enter most recent - Do not enter start and end date if the most recent is high school

Name of School
Type of school  
Street Address
City  
State / ZIP Code   
Start Date (Month / Year)   
End Date (Month / Year)   
Degree  
Major Study Area
Other Studies

Recent Employment

List most recent first

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)     
End Date (Month / Year)   
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)     
End Date (Month / Year)   
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

 

Drug Testing

Are you willing to take a drug screening test?   Yes No
 

Job Skills

T1107 - Chemistry
Accountant
Clerk
10 Key/Calculator
Accounts Payable/Rec
Banking
Collections
Payroll
Cashier - Checker
Bookeeper
Carpenter
Carpenter - Rough in
Painter
CAD/CAM
Graphics - Harvard Graphics
Graphics - Pagemaker
Graphics - Powerpoint (Mircrosoft)
Graphics - Publisher (Microsoft)
Spreadsheet - Lotus 123
Spreadsheet - Microsoft Excel
Suites - Lotus notes
Suites - Word Perfect Office
Windows
Word Proc. - Microsoft Word
Word Proc. - WordPerfect
Operting Systems - DOS (PC)
Operating Systems - Windows 2000
Operating Systems - Windows 95
Operating Systems - Windows 98
Operating Systems - Windows ME
Operating Systems - Windows NT
Operating Systems - Windows XP
Databases - Filemaker
Databases - Microsoft Access
Dentistry
Banking
Finance - Banking - Accounts
General Labor
Mechanical Assembly
Production Assembly
Material Handler/Casual Labor - Light under 25#
Material Handler/Casual Labor - Heavy over 25#
Packaging/Warehouse - Inventory
Packaging/Warehouse - Load/Unload
Packaging/Warehouse - Ship/Receive
Packaging/Warehouse - Stock Picking/Packing
Banquet Waitress/Waiter
Food Handler/Processor
Restaurant Worker
Maintenance - Janitor/Maintenance
Landscaping/Grounds Keeping - Groundskeeper
Machinery
Machinery - Injected Metal Mold
Machinery - Injection Plastic M
Machinery - Machine Tender General
Machinery - Punch Press/Stamping
Machinery - Sanding Wood
Hand Tools
Hand Tool - Drill Press
CNC EDM
Production - Grinding
Production - Lathe
Production - Machinist
Production - Millwright
Customer Service
Data Entry - Numeric
Data Entry - Alpha and Numeric
Reception/Switchboard
Secretarial - Executive
Legal
Medical
Insurance
Transcriber
Transcriber - Medical
Office - Typist
Clerk - Filing
Clerk - Mailroom
Office - Miscellaneous
Sells To or Buys From
Sells To or Buys From - Retailers
Inside Sales
Outside Sales
Retailing
Telemarketing
Paraprofessional
Engineer - Drafting/CAD/CAE
Engineer - Marine
Engineer - Materials/Fluids
Designer - Mechanical
Publications - Graphic Artist/Production
Publications - Specifications Writer
Forklift Operator
Driving
Driving - Chauffeur
Delivery/Light Truck Less than 10 0
 
 

I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person or entities from all liability for damages for issuing such information.

When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested.

I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time without liability to me for wages or salary except for such wages or salary which I earned prior to the date of my termination. I understand the term of my employment shall be limited to the duration of any assignment 
that I accept.

I am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the employer to inform me that a routine inquiry may be made that will provide applicable information concerning my character, my general reputation, my personal characteristics and my credit history. Upon written request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

I understand that I am applying for temporary or contract assignments. The completion of the this application process shall constitute a conditional offer of employment subject to my availability and the availability of customer assignments calling for the skill and qualifications that I possess, and I agree to consider acceptance of such assignments.

Please take a moment to review your application.  Indicate that you have read the above statement by entering your initials in the box below.  To complete this application, click on the Submit Application button.
Initials:    


This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.