Personal Information
Salutation:
*First Name:
M.I.:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
Nickname:
Email:
*How did you hear about us?:
*Home Phone:
Cell Phone:
Other Phone:
Emergency Contact Information
Contact Name:
Contact Phone:
Check if you are legally authorized to work in the United States:
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Position
*What position are you applying for:
Date available for work:
April 2024
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Minimum rate per hour:
Days you are available for work:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
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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:
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-to-hire:
Are you available direct-hire:
Cities Will Work:
Cities:
Ashland
Charles City
Chesterfield
Glen Allen
Goochland
Hanover County
Henrico County
Highland Springs
Mechanicsville
Midlothian
North Chesterfield
Richmond
Sandston
Skills
Skills:
FACTORY HELD POSITIONS : INSPECTOR
FACTORY HELD POSITIONS : QUALITY CONTROL
FACTORY HELD POSITIONS : SUPERVISOR
FACTORY HELD POSITIONS : LEAD
FACTORY HELD POSITIONS : STOCKER
FACTORY HELD POSITIONS : MATERIAL HANDLER
FACTORY HELD POSITIONS : BOXER
FACTORY HELD POSITIONS : ASSEMBLER
FACTORY HELD POSITIONS : MACHINE OPERATOR
FACTORY HELD POSITIONS : PALLETIZER
TOTAL FACTORY EXPERIENCE : 0-11 MONTHS
TOTAL FACTORY EXPERIENCE : 1-2 YEARS
TOTAL FACTORY EXPERIENCE : 3-5 YEARS
TOTAL FACTORY EXPERIENCE : 6-8 YEARS
TOTAL FACTORY EXPERIENCE : 9-10 YEARS
TOTAL FACTORY EXPERIENCE : 11-15 YEARS
TOTAL FACTORY EXPERIENCE : 16 YEARS PLUS
TOOLS USED/EXPERIENCE : TWEEZERS
TOOLS USED/EXPERIENCE : AIR POWERED TOOLS
TOOLS USED/EXPERIENCE : BOX CUTTERS
TOOLS USED/EXPERIENCE : SOLDERING IRON
TOOLS USED/EXPERIENCE : ABILITY TO:
TOOLS USED/EXPERIENCE : READ BLUEPRINTS
TOOLS USED/EXPERIENCE : USE SCHEMATICS
FACTORY SKILLS OBTAINED : COMPUTER SKILLS
FACTORY SKILLS OBTAINED : RECEIVING
FACTORY SKILLS OBTAINED : SHIPPING
FACTORY SKILLS OBTAINED : LOAD/UNLOAD
FACTORY SKILLS OBTAINED : CLEAN ROOM
FACTORY SKILLS OBTAINED : MANUAL DEXTERITY
FACTORY EQUIPMENT EXPERIENCE : PALLET JACK
FACTORY EQUIPMENT EXPERIENCE : SHIPPING/REC. SCALE
FACTORY EQUIPMENT EXPERIENCE : FORKLIFT:
FACTORY EQUIPMENT EXPERIENCE : SIT DOWN FORKLIFT
FACTORY EQUIPMENT EXPERIENCE : STAND UP FORKLIFT
FACTORY EQUIPMENT EXPERIENCE : ORDER PICKER
FACTORY EQUIPMENT EXPERIENCE : REACH TRUCK
FACTORY EQUIPMENT EXPERIENCE : CERTIFIED FORKLIFT
BI-LINGUAL SPEAKING : SPANISH
BI-LINGUAL SPEAKING : JAPANESE
BI-LINGUAL SPEAKING : FRENCH
BI-LINGUAL SPEAKING : OTHER:
Previous Employment
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):
Employer Information 1
Name of Employer:
Employment Dates
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April 2024
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Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Pay Per Hour:
Reason For Leaving:
Employer Information 2
Name of Employer:
Employment Dates
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Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Pay Per Hour:
Reason For Leaving:
Employer Information 3
Name of Employer:
Employment Dates
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April 2024
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Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Pay Per Hour:
Reason For Leaving:
Employer Information 4
Name of Employer:
Employment Dates
From:
April 2024
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Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
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):
Agency I
Firm Name:
Address:
City:
State:
Zip Code:
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:
Agency II
Firm Name:
Address:
City:
State:
Zip Code:
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:
Education
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
Name of college:
College degree:
College diploma/certificate:
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