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PERSONAL INFORMATION
* First Name:
Middle Name
* Last Name:
Date of Birth (00/00/0000)
* Sex:
Male
Female
* Address:
* City:
Address 2:
* State/Province:
* Zip:
Home Phone:
Mobile Phone:
Email:
* New Password:
* Confirm New Password:
Are you authorized to work in the US on unrestricted basis?
Yes
No
Are you over the age of 18?
Yes
No
Have you ever been convicted of a felony?
Yes
No
List last 3 jobs(company name,hire and end date,supervisor name,telephone and,position held)
Do you have a criminal background?
Yes
No
* Hire Date
Have you ever applied for employment with our company before?
Yes
No
* Job Skills
Check your skill category
Account Receivable
Adding Machine
Air Condition Repair
Assembly Line
Bookkeeping
CDL Driver
CNC Machinist
Computer
Computer Program
Copier
Drafter
Electrician
Electrician Helper
Engineer Electrical
Engineer Mechanical
Fax Machine
Forktruck Operator
General Labor
Lead
Machinist
Maintenance
Mechanic
Microsoft Exel
Microsoft Word
Microsoft Work
Mold Technician
Office management
Office Technology
Oil Field
Outlook
Payrolling
Peachtree
Plant Manager
Plumber
Plumber Helper
QC Inspector
Quickbook
Receptionist
Secretary
Shipping and Receiving
Supervisor
Technical and Professional
Warehouse Worker
Welder
Welder Helper
Word Perfect
Plastic Industry
Have you ever been employed with our company before?
Yes
No
If previously employed by our company where and when:
What shift(s) are you available to work?
All Shifts
1st Shift
2nd Shift
3rd Shift
Split Shifts
Weekdays only
Weekends only
12 hour
10 hour
Have you been exposed to marijuana smoke in the last 30 days?
Yes
No
Have you ever walked off the job?
Yes
No
Do you have any appointments coming up in the next 30 days?
Yes
No
Do you have dependable transportation?
Yes
No
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