APPLICATION FOR EMPLOYMENT

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status or disability.  Hired applicants are required as a condition of employment to submit documentation that establishes both identity and employment eligibility as mandated by the Immigration Reform Control Act of 1986.  Hired applicants who fail to submit documentation as required will be ineligible for employment with this company.

PERSONAL INFORMATION:

First Name:    Middle Initial:    Last Name:                  
Birth Date (mm/dd):  /   Social Security #: - -
Street #:
City:         State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip:
Phone: Cell:   E-mail:
 

Have you ever applied with Staffing Sense before?   yes  no    If yes, when? (mm/yyyy) /
How did you hear about Staffing Sense?

Do you have a reliable means of transportation? yes no

Are you over the age of eighteen? yes no  If no, hire is subject to subject to verification of minimum legal age.

Have you ever been convicted of a felony? yes no
If yes, please explain:


Are you currently employed? yes no  If yes, may we contact your current employer? yes no   

EDUCATION:

High School:         Years of attendance:                                               
    City/State:          / - /     Graduation:    Degree received:

College:               Years of attendance:                                               
    City/State:         / - /     Graduation:    Degree received:

College:               Years of attendance:                                               
    City/State:         / - /     Graduation:    Degree received:

Other:                 Years of attendance:                                               
    City/State:         / - /     Graduation:    Degree received:
 

Company:             Dates of employment: / - /                 Reason left:
    City/State:         Position Held:                                      
    Phone:              Salary: $

 

Company:             Dates of employment: / - /                 Reason left:
    City/State:         Position Held:                                      
    Phone:              Salary: $

 

Company:             Dates of employment: / - /                 Reason left:
    City/State:         Position Held:                                      
    Phone:              Salary: $

 

Company:             Dates of employment: / - /                 Reason left:
    City/State:         Position Held:                                      
    Phone:              Salary: $

EMPLOYMENT GAPS:
                   
                    Please fully explain any gaps in your employment history:
                   
 

SPECIAL SKILLS/TRAINING:

                    Describe any special training, skills, extra curricular activities or honors received.
                    State any additional information that may be helpful to us in considering your application.:
                   
 

COMPUTER EXPERIENCE:

    Microsoft Word         years of experience   where?
            Have you done the following in Word?    mail merges    tables    creating forms    style coding    auto text
                                                                      table of contents    macros

   
    Microsoft Excel         years of experience   where?
            Have you done the following in Excel?    spreadsheets    basic formulas    charts and graphs   pivot tables
                                                                      advanced formulas

   
    PowerPoint              years of experience   where?
            Have you done the following in PowerPoint?    create slides    insert graphics    animate

   
    Outlook                    years of experience   where?
            Have you done the following in Outlook?    schedule appointments    invite attendees    contact management
                                                                          mail merges with Word
   

    Microsoft Access      years of experience   where?
            Have you done the following in Access?    create reports    queries    macros   
                                                                         data entry into pre-created databases
  

    QuickBooks             years of experience   where?
            Have you done the following in QuickBooks?    data entry    reporting   set up chart of accounts
 

   RESUME:
  

    Upload and attach your resume:
                                 Please attach your resume
 

By pressing submit I understand that it shall be grounds for immediate dismissal if any of the information contained herein is found to be untrue.  I authorize you and all former employers, given by me as references, to answer all questions and to give all information in connection with this application or in any way concerning me.  I understand that if accepted for employment, I may be working for you on your payroll, at your client’s premises.  I agree that I will obtain your permission before discussing permanent employment with your client.  I agree to immediately notify you at the conclusion of each assignment or as soon as I become available.  If I fail to give such notice, you may assume that I am not available for reassignment, and am not ready, willing and able to work.  I understand that any information I learn while working for your client(s) is to be kept confidential.  I agree, if employed by you, that if I ever make claims against you for personal injuries, upon your request I shall submit to examinations by physicians of your selection.  I will hold you harmless from any claims including, but not limited to, personal injury or illness as a result of my providing false or misleading information on this application.  I hereby acknowledge that my employment is at-will, that I may resign at any time and the company may terminate my employment at any time, with or without cause.
 

    I agree to the terms above                I disagree with the terms above