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:
January 2025
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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:
CUSTODIAL JANITORAL : GENERAL CLEANING
CUSTODIAL JANITORAL : KNOWLEDGE OF EQUIPT
CUSTODIAL JANITORAL : SANITIZATION
CUSTODIAL JANITORAL : RESTOCK SUPPLIES
CUSTODIAL JANITORAL : LOAD/UNLOAD SUPPLIES
CUSTODIAL JANITORAL : CHANGE FILTERS
CUSTODIAL JANITORAL : REPLACE LIGHT BULBS
CUSTODIAL JANITORAL : TRASH DISPOSAL
CUSTODIAL JANITORAL : FLOOR CARE
EVENT SET UP TEAR DOWN : TABLE SET UP/REMOVAL
EVENT SET UP TEAR DOWN : CHAIR SET UP/REMOVAL
EVENT SET UP TEAR DOWN : FURNITURE ASSEMBLY
EVENT SET UP TEAR DOWN : BOX BREAKDOWN
EVENT SET UP TEAR DOWN : TRASH REMOVAL
EVENT SET UP TEAR DOWN : LOAD/UNLOAD MATERIAL
GENERAL LABOR MAINTENANCE : GROUNDS MAINTENANCE
GENERAL LABOR MAINTENANCE : TRADES WORK
GENERAL LABOR MAINTENANCE : LANDSCAPING
GENERAL LABOR MAINTENANCE : INVENTORY CONTROL
GENERAL LABOR MAINTENANCE : TRASH REMOVAL
GENERAL LABOR MAINTENANCE : LOAD/UNLOAD EQUIPT
EDUCATION : HIGH SCHOOL DIPOLMA
EDUCATION : ASSOCIATES
EDUCATION : BACHELORS
EDUCATION : GED
EDUCATION : TRADE SCHOOL
EDUCATION : ADD / SUBTRACT
EDUCATION : MULTIPLE / 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 : ABLE TO WORK OUTSIDE
EXPERIENCE : HEAVY PHYSICAL LABOR
EXPERIENCE : BILINGUAL
EXPERIENCE : CUSTOMER SERVICE
EXPERIENCE : SUPERVISOR EXP
EQUIPTMENT KNOWLEDGE : TWO WAY RADIOS
EQUIPTMENT KNOWLEDGE : CASH REGISTER
EQUIPTMENT KNOWLEDGE : VACCUM/MOP
EQUIPTMENT KNOWLEDGE : USE OF LADDER
EQUIPTMENT KNOWLEDGE : MOWERS/EDGERS
EQUIPTMENT KNOWLEDGE : HAND/POWER TOOLS
EQUIPTMENT KNOWLEDGE : OFFICE EQUIPTMENT
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:
January 2025
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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:
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City:
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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:
January 2025
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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:
January 2025
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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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