Employee Application
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*First Name:
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*Last Name:
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*Home Phone:
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* How did you hear of us:
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* 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:
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What shifts you are available to work:
Shift 1
Shift 2
Shift 3
Preferred Shift:
Shift 1
Shift 2
Shift 3
What times are you available to work from:
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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:
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City
Yes
Tuscon
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Skill Title
Yes
Skill Set: 0001 GENERAL OFFICE DUTIES
DATA ENTRY/10 KEY
TYPING
FILING
RECEPTION/PHONES
SUPPLIES MGMT.
MAIL PROCESSING
CUSTOMER SERVICE
INTERMENT RESEARCH
OTHER
Skill Set: 0011 OFFICE EQUIPMENT
MULTI-LINE PHONES
DESK TOP/ PC
MAC
COPY MACHINE
FAX MACHINE
POSTAGE MACHINE
SCANNING EQUIPMENT
OTHER
Skill Set: 0021 OFFICE SOFTWARE
MS ACCESS
MS ESCEL
MS WORD
MS OUTLOOK
MS POWER POINT
MS PUBLISHER
ADOBE ILLISTRATOR
ADOBE PHOTOSHOP
OTHER
Skill Set: 0031 LEGAL OFFICE
LEGAL SECRETARY
LEGAL TRANSCRIPTION
PARALEGAL
OTHER
BILINGUAL
Skill Set: 0041 ACCOUNTING/BOOKKEEPIN
AP/AR
PAYROLL PROCESSING
GENERAL LEDGER
TAX RETURNS COLLECTI
ONS QUICKBOOKS
PEACH TREE
SAGE
MAS 90
OTHER
Skill Set: 0051 YEARS OF EXPERIENCE
0-3 YEARS
4-7 YEARS
8-11 YEARS
11+ YEARS
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Enter as much information as you can. More details will help us better serve you.
(Salary/Pay per hour: NOT REQUIRED in CA, DE, MA, OR, or NYC)
Previous Employment #1
Dates of employment:
From:
To:
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Name of employer:
Address:
City, State, Zip:
AL
AK
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AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone:
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Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
Previous Employment #2
Dates of employment
:
From:
To:
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April 2018
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Name of employer:
Address:
City, State, Zip:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone:
Invalid value
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
Previous Employment #3
Dates of employment
:
From:
To:
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April 2018
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Cancel
Name of employer:
Address:
City, State, Zip:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone:
Invalid value
Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
Previous Employment #4
Dates of employment
:
From:
To:
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April 2018
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OK
Cancel
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April 2018
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Jan
Feb
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May
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Jul
Aug
Sep
Oct
Nov
Dec
OK
Cancel
Name of employer:
Address:
City, State, Zip:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone:
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Supervisor:
Job Position:
Pay per hour:
Reason for leaving:
Temporary Employment
Check if you have ever used a recruiting firm to obtain employment (temp or perm):
FIRM # 1
FIRM # 2
Firm name:
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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:
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CT
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IL
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IA
KS
KY
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MS
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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:
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High School Education
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High school degree:
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Business or Other Education
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