Employee Application
Last 4 numbers of your SSN:
Salutation:
v
*First Name:
Middle Initial:
*Last Name:
Nickname:
Address:
* City:
* State:
v
* Zip:
*Home Phone:
Enter only numbers, area code first:
Cell Phone:
Enter only numbers, area code first:
Other Phone:
Enter only numbers, area code first:
Email:
In case of emergency, notify name:
Emergency Phone:
Enter only numbers, area code first:
Check if you are legally authorized to work in the United States:
* How did you hear of us:
v
 
* What position are you applying for:
Date available for work:
v
Minimum rate per hour:
Days you are available to work full-time:
 
What shifts you are available to work:
Preferred Shift:
What times are you available to work from:
   
To:
   
Checking the below boxes indicates YES:  
Do you have transportation:
Will you accept a same day assignment:
Will you accept a long term assignment:
Are you available part-time:
Are you available full-time:
Are you available temp-hire:
Are you available direct-hire:
 
City 
Yes 
East San Diego County
North San Diego County
Orange & SO LA County
Orange County-All
Orange County-Limited
San Diego County-All
South San Diego County

Skill Title 
Yes 
[Collapse]Skill Set: 0010 DRIVER
 License
 CDL-A
 CDL-B
 CDL-C
 Tractor Trailer
 Delivery Truck
 Delivery Van
 Automatic
 Clutch
[Collapse]Skill Set: 0010 EQUIPMENT
 Backhoe
 Bulldozer
 Outside Forklift
 Crane
 Drill
 Saw
 Nail Gun
 Jack Hammer
[Collapse]Skill Set: 0010 MAINTENANCE
 Building Repair
 Machinery Repair
 FloorCare
 Landscape
 Lawncare
 Hotel Cleaning
 Janitorial
[Collapse]Skill Set: 0010 SKILLED
 Welder
 Machinist
 Demolition
 Supervisor
 Carpenter
 Construction
 Plumber
 HVAC
 Electrician
 Mechanic
 Painter
 Flagger
 Mover
 Laundry
 Road Crew
 Digger/Raker
 General Labor
 Milwright
 Concrete
[Collapse]Skill Set: 0010 SUPPLIES AVAILABLE
 Hard Hat
 Tools
 Safety Glasses
 Steel Toe Work Boots
 Fluorescent Vest
 Gloves
[Collapse]Skill Set: 0010 WAREHOUSE
 Computer Skills
 Receiving
 Shipping
 Load/Unload
 Hand Jack
 Forklift
 Stand Up
 Sit Down
 Cherry Picker
 Inventory
 Order Selector
[Collapse]Skill Set: 0999 FACTORY
 Mechanical Assembler
 Electronic Assembler
 Solderer
 Inspector
 Picker/Packer
 Quality Control
 Machine Operator
 Production Line
 Production Cell
 PC Board Assembler

Enter as much information as you can. More details will help us better serve you.

Previous Employment #1

Dates of employment: From: To:
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v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:

Previous Employment #2

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
   

Previous Employment #3

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:

Previous Employment #4

Dates of employment: From: To:
v
v
Name of employer:
Address:
City, State, Zip:
v
Phone:
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
 

Temporary Employment

FIRM # 1

FIRM # 2

Firm name:
Address:
City, State, Zip:
v
Please list at which clients you were placed, job category, and to whom you reported. Please share your thoughts on the agency and your assignment:
Firm name:
Address:
City, State, Zip:
v
Please list at which clients you were placed, job category, and to whom you reported. Please share your thoughts on the agency and your assignment:
 

High School Education

Name of high school:
High school degree:
High school diploma/certificate:

Business or Other Education

Name of school/program:
School/program degree:
School/program diploma/certificate:

College Education

Name of college:
College degree:
College diploma/certificate:
               
      I certify that the information on this application is true and factual
  


Submit Your Application


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