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:
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Position
*What position are you applying for:
Date available for work:
October 2024
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Days you are available for work:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
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:
Brea
Chino
Chino Hills
Corona
Fontana
Lake Elsinore
Los Angeles County
Mira Loma
Moreno Valley
Norco
North Orange County
Ontario
Perris
Pomona
Rancho Cucamonga
Rialto
Riverside
San Bernardino/Colton
South Orange County
Temecula
Upland/Montclair
Skills
Skills:
WHSE/DIST/LOGISTICS : Receiving
WHSE/DIST/LOGISTICS : Shipping
WHSE/DIST/LOGISTICS : Load/Unload
WHSE/DIST/LOGISTICS : Pallet Jack
WHSE/DIST/LOGISTICS : Stand up Forklift
WHSE/DIST/LOGISTICS : Sit down Forklift
WHSE/DIST/LOGISTICS : Cherry Picker
WHSE/DIST/LOGISTICS : Clamp
WHSE/DIST/LOGISTICS : Order Selector
WHSE/DIST/LOGISTICS : Inventory
MFG/PRODUCTION : Mechanical Assembler
MFG/PRODUCTION : Electrical Assembler
MFG/PRODUCTION : Solderer
MFG/PRODUCTION : Inspector
MFG/PRODUCTION : Picker/Packer
MFG/PRODUCTION : Quality Control
MFG/PRODUCTION : Machine Operator
MFG/PRODUCTION : Production Line
MFG/PRODUCTION : Production Cell
MFG/PRODUCTION : PC Board Assembler
MAINTENANCE : Building Repair
MAINTENANCE : Machinery Repair
MAINTENANCE : Electrical
MAINTENANCE : Mechanical
MAINTENANCE : Janitorial
SKILLED : Welder
SKILLED : Machinist
SKILLED : CNC
SKILLED : Mill
SKILLED : Lathe
SKILLED : Grinder
INDUSTRY : Cold Storage
INDUSTRY : Clothing
INDUSTRY : Plastics
INDUSTRY : Metals
INDUSTRY : Paper
INDUSTRY : Wood
INDUSTRY : Automotive
INDUSTRY : Food
INDUSTRY : Other
MANAGEMENT : Operations
MANAGEMENT : Supervisor
MANAGEMENT : Manager
MANAGEMENT : Director
MANAGEMENT : Associates Degree
MANAGEMENT : Bachelors Degree
MANAGEMENT : Masters Degree
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, DC, DE, HI, IL, MA, MD, ME, MN, NJ, NY, OR, VT, WA):
Employer Information 1
Name of Employer:
Employment Dates
From:
October 2024
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Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Reason For Leaving:
Employer Information 2
Name of Employer:
Employment Dates
From:
October 2024
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Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Reason For Leaving:
Employer Information 3
Name of Employer:
Employment Dates
From:
October 2024
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Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Reason For Leaving:
Employer Information 4
Name of Employer:
Employment Dates
From:
October 2024
Sun
Mon
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Wed
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29
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October 2024
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Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
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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