Staffing Advantage, Inc.

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.

Applicant Information:
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Last 4 digits of Social Security Number:
Did you graduate from high school?:
If not, do you have a G.E.D.?:
Do you have reliable transportation?:
Are you willing to take a drug and alcohol screen?:
What shifts are you available?:
Are you willing to travel up to 50 miles for both regular and light duty work when necessary?:
Will you submit to a criminal background check?:
Do you have a legal identification for eligibility to work in the USA?:
 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:
Title:
Start Date:
End Date:
Duties:
Supervisor:
Phone:
Reason for leaving:
Company Name:
City/State:
Type of Position:
Title:
Salary:
Start Date:
End Date:
Duties:
Supervisor:
Phone:
Reason for leaving:
Company Name:
City/State:
Type of Position:
Title:
Start Date:
End Date:
Duties:
Supervisor:
Phone:
Reason for leaving::
SKILLS:
Clerical Skills:
General Laborer:
Forklift:
Machine Operator Fields:
Hotel & Restaurants:
Computer Experience:
Steel Toed Shoes:
Drivers Skills:
Other Information
Comments:
I authorize STAFFINGADVANTAGEINC.COMto verify my background and employment history.

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