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:
December 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:
Beach Side
Brevard Central
Brevard North
Brevard South
Cape Canaveral
Christmas
Cocoa
Cocoa Beach
Grant
Indian Harbour Beach
Indiatlantic
Lake
Manatee
Melbourne
Merritt Island
MIMS
Orange
Palm Bay
Port St. John
Rockledge
Satellite Beach
Seminole
Titusville
Viera
Volusia
W. Melbourne
Skills
Skills:
FOOD SERVICE : SERVER
FOOD SERVICE : CASHIER
FOOD SERVICE : COOK
FOOD SERVICE : BAKER
FOOD SERVICE : FOOD PREP
FOOD SERVICE : LINE SERVER
FOOD SERVICE : DISHWASHER
FOOD SERVICE : RESTOCK SUPPLIES
CUSTODIAL/JANITORAL : GENERAL CLEANING
CUSTODIAL/JANITORAL : KNOWLEDGE OF EQUIPT
CUSTODIAL/JANITORAL : SANITIZATION
CUSTODIAL/JANITORAL : RESTOCK SUPPLIES
CUSTODIAL/JANITORAL : CHANGE AIR FILTERS
CUSTODIAL/JANITORAL : REPLACE LIGHT BULBS
CUSTODIAL/JANITORAL : TRASH DISPOSAL
CUSTODIAL/JANITORAL : FLOOR CARE
CHILD CARE PROVIDER : CHILD SUPERVISION
CHILD CARE PROVIDER : PLANNING ACTIVITIES
CHILD CARE PROVIDER : CPR CERTIFICATION
CHILD CARE PROVIDER : FIRST AIDE TRAINING
CHILD CARE PROVIDER : PARA PROFESSIONAL
CHILD CARE PROVIDER : WORKING W/ CHILDREN
EDUCATION : HIGH SCHOOL DIPOLMA
EDUCATION : ASSOCIATES
EDUCATION : BACHELORS
EDUCATION : GED
EDUCATION : TRADE SCHOOL
EDUCATION : ADD / SUBTRACT
EDUCATION : MULTIPLY/DIVIDE
EDUCATION : READ / WRITE
EDUCATION : ENGLISH LANGUAGE
EXPERIENCE : 0-3 YRS
EXPERIENCE : 4-7 YRS
EXPERIENCE : 8-11 YRS
EXPERIENCE : 11+ YRS
EXPERIENCE : CLEAN DRIVING RECORD
EXPERIENCE : HEAVY PHYSICAL LABOR
EXPERIENCE : ABLE TO WORK OUTSIDE
EXPERIENCE : BILINGUAL
EXPERIENCE : CUSTOMER SERVICE
EXPERIENCE : SUPERVISOR EXP
EQUIPMENT KNOWLEDGE : CASH REGISTER
EQUIPMENT KNOWLEDGE : INDUSTRIAL OVEN
EQUIPMENT KNOWLEDGE : INDUSTRIAL STOVE
EQUIPMENT KNOWLEDGE : VACCUM
EQUIPMENT KNOWLEDGE : CARPET CLEANER
EQUIPMENT KNOWLEDGE : MOP / MOP BUCKET
EQUIPMENT KNOWLEDGE : IND. FLOOR STRIPPER
EQUIPMENT KNOWLEDGE : USE OF LADDER
EQUIPMENT KNOWLEDGE : TWO WAY RADIOS
EQUIPMENT KNOWLEDGE : TIMECLOCK
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:
December 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
From:
December 2024
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City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Pay Per Hour:
Reason For Leaving:
Employer Information 3
Name of Employer:
Employment Dates
From:
December 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:
December 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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