Employee Application
Branch to apply to:
v
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 
Independence
Johnson County
Kansas City, KS
Kansas City, MO
Lee's Summit

Skill Title 
Yes 
[Collapse]Skill Set: 9999 Bookkeeping
 Full Charge
 Accts Payable
 Accts Receivable
 Assistant
 Manual
 Computer
 Bookkeeping Machines
 Collections
 Recon
 Payroll
 Taxes
[Collapse]Skill Set: 9999 Business Machines
 Adding Machines
 Full
 10 Key
 Touch
 Fax
 Postage Machine
[Collapse]Skill Set: 9999 Clerical
 Filing
 Alpha
 Num
 Coding
 Posting
 Other
 Bulk Mail
 Telemarketing
 Customer Service
[Collapse]Skill Set: 9999 Computer
 Main
 Mini
 Mac
 PC
[Collapse]Skill Set: 9999 Data Entry
 Alpha
 Num
[Collapse]Skill Set: 9999 Foreign Languages
 Speak
 Read
 Write
[Collapse]Skill Set: 9999 Stenographic
 Legal
 Medical
[Collapse]Skill Set: 9999 Typing Equipment
 Memory
 Manual
 Electric
 Selectric
 Stencils/Masters
 Statistical Typing
 Invoicing / Billing
 Steno
 Transcriber

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 verify that all the provided information is true and factual.
  


Submit Your Application


Please CLICK 'SUBMIT YOUR APPLICATION' ONLY ONCE . Depending on your connection speed it may take a few seconds for your computer to cycle to the next screen. Please be patient, the system is processing the application. If you click this button more than once you run the risk of submitting multiple applications.