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 
Alexandria
Fergus Falls
Menahga
Motley
New York Mills
Park Rapids
Perham
Pillager
Sebeka
Staples
Staples/ Motley Area
Wadena
Within a 15 Mile Radius
Within a 20 Mile Radius
Within a 30 Mile Radius
Within a 40 Mile Radius
Within a 50 Mile Radius
Within a 60 Mile Radius

Skill Title 
Yes 
[Collapse]Skill Set: 0001 OFFICE
 RECEPTIONIST
 CUSTOMER SERVICE
 CASHIER
 DATA ENTRY
 MEDICAL BILLING
 SCHEDULING
 FILING
[Collapse]Skill Set: 0011 SOFTWARE
 QUICKBOOKS
 MICROSOFT WORD
 MICROSOFT EXCEL
 MICROSOFT OUTLOOK
 MICROSOFT POWERPOINT
 ADP
 WINDOWS
 APPLE IOS
[Collapse]Skill Set: 0021 ADMINISTRATIVE ASSISTANT
 GENERAL
 MEDICAL
 LEGAL
 MARKETING
 MANUFACTURING
 FINANCIAL
 CONSTRUCTION
[Collapse]Skill Set: 0031 INFORMATION TECHNOLIGY
 PROGRAMMER
 SOFTWARE DEVELOPER
 HARDWARE TECHNICIAN
 SYSTEM ANALYST
 DATABASE ADMIN
 PROJECT LEAD
 SYSTEM ADMINISTRATOR
 IT MANAGER
 HELP DESK ANALYST
[Collapse]Skill Set: 0041 PROFESSIONAL
 BANK TELLER
 LOAN OFFICE
 TELEMARKETING
 B2B SALES
 RETAIL SALES
 LEGAL SECRETARY
 HR GENERALIST
 HR MANAGER
 LEGAL SECRETARY
 PHARMACY TECH
[Collapse]Skill Set: 0051 ACCOUNTING
 ACCOUNTS PAYABLE
 ACCOUNTS RECEIVABLE
 OFFICE MANAGER
 CONTROLLER
 BOOKKEEPER
 INVOICING
 COLLECTIONS
 PAYROLL

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 verify that all the provided information is true and factual.
  


Submit Your Application


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