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: (Required to Submit Application):
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Position
*What position are you applying for:
Date available for work:
October 2024
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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: (Select at least two)
Cities:
Addison
Arlington
Balch Springs
Buda/Kyle
Carrollton
Cedar Park
Coppell
Dallas
Del Valley
Desota
Domain
Downtown Austin
Duncanville
East Austin
Farmers Branch
Fort Worth
Garland
Grand Prairie
Grapevine
Irving
Las Colinas
Manor
Mansfield
Mesquite
Oak Hill
Plano
Richardson
Round Rock/Pflugerville
San Marcos
South Austin
Sunset Valley
The Colony
Westlake
Skills: (Select at least four)
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. (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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To:
October 2024
Sun
Mon
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Fri
Sat
40
29
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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:
October 2024
Sun
Mon
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29
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*To:
October 2024
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41
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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 3
Name of Employer:
Employment Dates
From:
October 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
40
29
30
1
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41
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To:
October 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
40
29
30
1
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3
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41
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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 4
Name of Employer:
Employment Dates
From:
October 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
40
29
30
1
2
3
4
5
41
6
7
8
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42
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43
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44
27
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29
30
31
1
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45
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To:
October 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
40
29
30
1
2
3
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41
6
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42
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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 1 (If Checked you must fill out all items):
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:
Trade School:
Name of school/program:
School/program degree:
School/program diploma/certificate:
College
Name of college:
College degree:
College diploma/certificate:
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