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 
Aiea, Oahu
Aina Haina Wailupe, Oahu
Alakea, Oahu
Barber's Point (Kalaeloa
Camp Smith, Oahu
Capehart, Oahu
Ewa Beach, Oahu
Ewa, Oahu
Fors Island, Oahu
Fort Shafter, Oahu
Haiku, Maui
Hana, Maui
Hickam AFB, Oahu
Hilo, Hawaii
Honolulu, Oahu
Kaaawa, Oahu
Kahualuu, Oahu
Kahului, Maui
Kailua, Oahu
Kaimuki, Oahu
Kakaako, Oahu
Kalihi, Oahu
Kaneohe, Oahu
Kapaa, Kauai
Kapolei, Oahu
Kaunakakai, Molokai
Keahi, Oahu
Kihei, Maui
Koko Head, Oahu
Kona, Hawaii
Kualapuu, Molokai
Kula, Maui
Lahaina, Maui
Laie, Oahu
Lanai City, Lanai
Lihue, Kauai
Lualualei, Oahu
Maalaea, Maui
Makaha, Oahu
Makakilo, Oahu
Makawao, Maui
Manoa, Oahu
Maunaloa, Molokai
Mililani, Oahu
Moanalua, Oahu
Mokapu, Oahu
Nanakuli, Oahu
Napili, Maui
Paia, Maui
Pearl City, Oahu
Pearl Harbor, Oahu
Pukalani, Maui
Punahou, Oahu
Puuloa, Oahu
Puunui, Oahu
Schofield Barracks, Oahu
Soda Creek, Oahu
Sunset Beach, Oahu
Ualapue, Molokai
Ulupalakua, Maui
Wahiawa, Oahu
Waialua, Oahu
Waianae, Oahu
Waikiki, Oahu
Wailea, Maui
Wailuku, Maui
Waimanalo, Oahu
Waipahu, Oahu
Wheeler, Oahu

Skill Title 
Yes 
[Collapse]Skill Set: 0010 ADMINISTRATIVE ASSISTANT
 General
 Medical
 Legal
 Marketing
 Manufacturing
 Financial
[Collapse]Skill Set: 0010 BOOKKEEPING
 Assistant
 Full Charge
 Accts Payable
 Accts Receivable
 Collections
 Reconciliation
 Payroll
 Tax Preparation
 Software
 Manual
 Auditing
 Budget Analysis
 Invoicing
[Collapse]Skill Set: 0010 OFFICE
 Customer Service
 Telemarketing - In
 Telemarketing - Out
 Filing
 Mail Room
[Collapse]Skill Set: 0010 OFFICE EQUIPMENT
 Typewriter
 Copier
 Fax
 Postage Meter
 Calculator
 Projector
 Computer
 Email
 Internet
 Scanner
 PDA
[Collapse]Skill Set: 0010 RECEPTIONIST
 Switchboard
 Headphone

ENTER THE APPROPRATE INFORMATION IN THE SPACE PROVIDED

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

Previous Employment #1

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 #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 to the best of my knowledge, and I understand that any false or misleading statements of omission, whenever discovered, regarding this application is a reason for disqualification from further consideration or for dismissal from employment.
  


Submit Your Application


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