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 2025
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Minimum rate per hour:
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:
0-10 miles
11-20 miles
21-30 miles
31-40 miles
41-50 miles
50+ miles
Aitkin
Akeley
Aurora
Bagley
Baxter
Bemidji
Bena
Bigfork
Biwabik
Blackduck
Bovey
Brainerd
Buhl
Carlton
Cass Lake
Chisholm
Clearbrook
Cloquet
Cohasset
Coleraine
Cook
Crosslake
Deer River
Deerwood
Duluth
Ely
Eveleth
Fargo
Floodwood
Fosston
Gilbert
Gonvick
Goodland
Grand Rapids
Hackensack
Hibbing
Hill City
Hines
Hoyt Lakes
Iron Range
Keewatin
Longville
McGregor
McKinley
Meadowlands
Menahga
Moorhead
Mt. Iron
Nashwauk
Nisswa
Park Rapids
Pengilly
Pequot Lakes
Quad Cities
Remer
Sebeka
Shevlin
Solway
Tenstrike
Tower
Virginia
Wadena
Walker
Skills
Skills:
DRIVER : License
DRIVER : CDL-A
DRIVER : CDL-B
DRIVER : CDL-C
DRIVER : Tractor Trailer
DRIVER : Delivery Truck
DRIVER : Delivery Van
DRIVER : Automatic
DRIVER : Clutch
EQUIPMENT : Backhoe
EQUIPMENT : Bulldozer
EQUIPMENT : Outside Forklift
EQUIPMENT : Crane
EQUIPMENT : Drill
EQUIPMENT : Saw
EQUIPMENT : Nail Gun
EQUIPMENT : Jack Hammer
MAINTENANCE : Building Repair
MAINTENANCE : Machinery Repair
MAINTENANCE : FloorCare
MAINTENANCE : Landscape
MAINTENANCE : Lawncare
MAINTENANCE : Hotel Cleaning
MAINTENANCE : Janitorial
SKILLED : Welder
SKILLED : Machinist
SKILLED : Demolition
SKILLED : Supervisor
SKILLED : Carpenter
SKILLED : Construction
SKILLED : Plumber
SKILLED : HVAC
SKILLED : Electrician
SKILLED : Mechanic
SKILLED : Painter
SKILLED : Flagger
SKILLED : Mover
SKILLED : Laundry
SKILLED : Road Crew
SKILLED : Digger/Raker
SKILLED : General Labor
SKILLED : Milwright
SKILLED : Concrete
SUPPLIES AVAILABLE : Hard Hat
SUPPLIES AVAILABLE : Tools
SUPPLIES AVAILABLE : Safety Glasses
SUPPLIES AVAILABLE : Steel Toe Work Boots
SUPPLIES AVAILABLE : Fluorescent Vest
SUPPLIES AVAILABLE : Gloves
WAREHOUSE : Computer Skills
WAREHOUSE : Receiving
WAREHOUSE : Shipping
WAREHOUSE : Load/Unload
WAREHOUSE : Hand Jack
WAREHOUSE : Forklift
WAREHOUSE : Stand Up
WAREHOUSE : Sit Down
WAREHOUSE : Cherry Picker
WAREHOUSE : Inventory
WAREHOUSE : Order Selector
FACTORY : Mechanical Assembler
FACTORY : Electronic Assembler
FACTORY : Solderer
FACTORY : Inspector
FACTORY : Picker/Packer
FACTORY : Quality Control
FACTORY : Machine Operator
FACTORY : Production Line
FACTORY : Production Cell
FACTORY : PC Board Assembler
Previous Employment
Enter as much information as you can. More details will help us better serve you:
Employer Information 1
Name of Employer:
Employment Dates
From:
April 2025
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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:
April 2025
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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:
April 2025
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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:
April 2025
Sun
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31
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April 2025
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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:
Apply For The Job
I certify that I have not purposely withheld any information that might adversely affect my chances of being hired. I attest to the fact that the answers given by me are true and correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure employment can be grounds for rejection of application or, if I am employed by this company, grounds for my immediate expulsion from the company. I understand if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company. I permit the company to examine my references, record of employment, education records, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons, corporations, partnerships and associations from all claims, demands, or liabilities arising out of or in any way related to such examination or revelation.
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