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APPLICATION FOR EMPLOYMENT
Salutation
First Name:
Last Name:
Middle Initial:
Address:
Apt #:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Emergency #:
Type of Transportation:
Days you can work:
Which shifts?:

DESIRED EMPLOYMENT
Position:
Date You Can Start:
Salary Desired:
Are you employed now?
If so may we inquire
of your present employer?

EDUCATION
High School Name:
# Years Attended:
Did you graduate?
College Name:
# Years Attended:
Did you graduate?

FORMER EMPLOYERS *MOST RECENT FIRST
Name of Present or Last Employer:
Staffing Company
Address
City
State:
Zip:
Starting Date:
Leaving Date:
Job Title:
Weekly Starting Salary:
Weekly Final Salary:
May we contact your supervisor?
Name of Supervisor:
Title:
Phone:
Description of Work:
Reason for Leaving:
Name of Last Employer:
Staffing Company
Address
City
State:
Zip:
Starting Date:
Leaving Date:
Job Title:
Weekly Starting Salary:
Weekly Final Salary:
May we contact your supervisor?
Name of Supervisor:
Title:
Phone:
Description of Work:
Reason for Leaving:
Name of Last Employer:
Staffing Company
Address
City
State:
Zip:
Starting Date:
Leaving Date:
Job Title:
Weekly Starting Salary:
Weekly Final Salary:
May we contact your supervisor?
Name of Supervisor:
Title:
Phone:
Description of Work:
Reason for Leaving:

ADDITIONAL INFORMATION
Have you worked for a staffing company?
Arrested besides speeding ticket?
Have you been convicted of a felony?
If yes, explain. (Will not necessarily
exclude you from consideration)

SKILLS EXPERIENCED IN
Factory
Inspecting
Quality Control
Packing
Assembly
Electronics
Wiring
P.C. Board Fabrication
Inspection
Schematics
Blueprints
Cable Assembly
Soldering
Cable
PCB
Surface Mount
Thru-Hole
Maintenance
Manufacturing Plant
Facilities
Machinary
Automotive
Apartment
Janitorial
Jack of All Trades
Trade
CNC Programming
CNC Setup & Operate
PLC's
Manual Machines
Electrician (cert.)
Carpenter
Automated Machine setup
Mechanical Machine setup
Auto Mechanic
Welder
Injection Molding
Press Machines
Warehouse
Inventory
Shopping/Receiving
Fork Lift
Fork Lift Certified
Cherry Picker
Stocking
Load/Unload
General Labor
Construction
Operate Heavy Equipment
Operate Saws, Air Guns, etc. - wood
Lumber Yard experience
Familiar with different types of woods
Furniture building
Kitchen Cabinets building
Landscaping
Operate Back Hoe
Plant trees/shrubs/flowers
Food Service
Cook
Dishwasher
Waiter/Waitress
Banquets
If you checked banquets,
do you have black and whites?
Administrative/Clerical
Data Entry
Filing
Customer Service
Receptionist
Well Written and
Oral Communication Skills
Organize and manage time
Proficient in basic math
Ability to work independently
Strong Computer Skills
Light Computer Skills
 
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