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Aplique Ahora
Equal Employment Opportunity Company
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Employment Application
Employment Application
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment. Applicants will receive consideration for employment without regard to sex, race, color, age, national origin or ancestry, religion, disability, medical condition, or marital status.
Date:
Last 4 digits of Social Security Number:
Name:
First
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Phone:
Alternate Phone:
Emergency Contact:
Relationship:
Emergency Contact Phone:
1. Did you graduate from high school?
Yes
No
If not, do you have a G.E.D.?
Yes
No
2. Do you have reliable transportation?
Yes
No
3. Are you willing to take a drug and alcohol screen?
Yes
No
4. What shifts are you available?
1st
2nd
3rd
5. Are you willing to travel up to 50 miles for both regular and light duty work when necessary?
Yes
No
6. Will you submit to a criminal background check?
Yes
No
7. Do you have legal identification for eligibility to work in the U.S.?
Yes
No
EMPLOYMENT HISTORY: (Please list the last 3 jobs if less than 5 years with the most recent first)
Company Name:
City/State:
Type of Position:
Temp
Perm
If temp, what agency or company?
Title:
Salary:
Start Date:
End Date:
Duties:
Supervisor:
Phone:
Reason for leaving:
Company Name:
City/State:
Type of Position:
Temp
Perm
If temp, what agency or company?
Title:
Salary:
Start Date:
End Date:
Duties:
Supervisor:
Phone:
Reason for leaving:
Company Name:
City/State:
Type of Position:
Temp
Perm
If temp, what agency or company?
Title:
Salary:
Start Date:
End Date:
Duties:
Supervisor:
Phone:
Reason for leaving:
SKILLS: (please check all that apply)
Clerical Skills:
Windows
Word
SAP
AS400
Excel
Accounts Payable
Accounts Receivable
Quick Books
Customer Service
Human Resources
Management
Inside Sales
>> Manufacturing (Inside Sales)
>> Distribution (Inside Sales)
Outside Sales
Call Center
Data Entry
Warehouse Skills:
General Laborer
Inventory Control
Picker/Packer
RF Scanner
Assembly
Cycle Counting
Wuality Control
Forklift
>> Certified (Forklift)
>> Stand Up (Forklift)
>> Sit Down (Forklift)
>> Clamp Squeeze (Forklift)
>> Slip Sheet (Forklift)
Machine Operator Fields:
Drill Press
Injection Mold
Lathe
Mill
Punch Press
Sander
Setups
Band-saw
Brake-press
Extrusion
Industrial Skills:
Machinist
>> CNC (Machinist)
>> Lathe (Machinist)
Industrial Maintenance
Mechanical Assembly Skills:
Blueprints
PC Board
Schematics
Electronic Assembly Skills:
Blueprints
Solder
Harnessing
Multi-layer
PC Board
Rework
Schematics
Wire Wrap
Drivers Skills:
CDL A
CDL B
Delivery Non-CDL
Welding Skills:
Mig
Tig
Stick
Robotics
Electrician
Construction
Bilingual
Fed Ex/UPS Software
Our Vision
To be one of the best staffing agencies in providing fast and accurate placement of employees to our clients.
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Employee Handbook
Employment Application
Aplique Ahora
Equal Employment Opportunity Company
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