Employee Application
Last 4 numbers of your SSN:
Salutation:
v
*First Name:
Middle Initial:
*Last Name:
Nickname:
Address:
* City:
* State:
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* 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:
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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 
All Locations
Aloha
Any East
Any West
Aurora
Beaverton
Bend
Camas
Clackamas
Culver
Fairview
Gresham
Hazel Dell
Hillsboro
Hubbard
Kelso
Lake Oswego
Longview
Madras
Milwaukie
Minnehaha
Orchards
Oregon City
Portland
Portland - N
Portland - NE
Portland - NW
Portland - SE
Portland - SW
Prineville
Redmond
Ridgefield
Salmon Creek
Sherwood
Sisters
Sun River
Tigard
Tualatin
Vancouver
Wilsonville
Woodburn
Woodland

Skill Title 
Yes 
[Collapse]Skill Set: 0001 CABINET MAKER
 Laminate
 Read Blue Prints
 Paint / Finish
 Commercial
 Residential
 Fixture Building
 Architectural
[Collapse]Skill Set: 0011 WELDER
 MIG-GMAW
 TIG-GTAW
 ARC-SMAW
 Fluxcore-FCAW
 Pulse ARC
 Robotic
[Collapse]Skill Set: 0021 CNC MACHINIST
 Mill
 Lathe
 Vertical
 Horizontal
 Router
 Laser
 3D Printer
 Bore Machine
 Manual
[Collapse]Skill Set: 0031 MECHANIC
 Maintenance Mechanic
 PLC
 Hydraulic
 Auto Mechanic
 Diesel Mechanic
 LME
 Low Voltage
[Collapse]Skill Set: 0041 TECHNOLOGY
 Semi-Conductors
 Clean Room
 Wafer MFG
 Software Engineer
 Network Admin.
 Systems Analyst
 IT Management
[Collapse]Skill Set: 0051 METAL FABRICATION
 Grinding
 Deburr
 Plasma Cutting
 Sheet Metal
 Press Brake
 Punch Press

Enter as much information as you can. More details will help us better serve you.
(Salary/Pay per hour: NOT REQUIRED in AL, CA, CO, CT, DE, HI, IL, MA, ME, NJ, NY, OR, VT, WA)

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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