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:
February 2025
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Minimum rate per hour:
Days you are available for work:
Mon:
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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:
Harbour Area
Los Angeles
South Bay
West Los Angeles
Skills
Skills:
ASSEMBLY : MEDICAL
ASSEMBLY : ELECTRONIC
ASSEMBLY : MECHANICAL
ASSEMBLY : LABELING
ASSEMBLY : FLORAL
ASSEMBLY : FOOD
ASSEMBLY : HAND TOOLS
ASSEMBLY : INDUSTRIAL SEWING
ASSEMBLY : MACHINE OPERATOR
FORKLIFT : CERTIFIED
FORKLIFT : SIT DOWN
FORKLIFT : STAND UP
FORKLIFT : GAS/DIESEL
FORKLIFT : PROPANE
FORKLIFT : PALLET JACK
FORKLIFT : CLAMP TRUCK
FORKLIFT : CHERRY PICKER
FORKLIFT : HIGH REACH
WAREHOUSE : SELECTOR
WAREHOUSE : COOLER/FREEZER
WAREHOUSE : MATERIAL HANDLER
WAREHOUSE : INVENTORY
WAREHOUSE : PALLETIZER
WAREHOUSE : ORDER PULLER
WAREHOUSE : LOAD/UNLOADING
WAREHOUSE : MANAGER
WAREHOUSE : HEAVY LIFTING 50<
WAREHOUSE : LIGHT LIFTING 25>
MANUFACTURING : PRODUCTION CONTROL
MANUFACTURING : QUALITY CONTROL
MANUFACTURING : CNC LATHE
MANUFACTURING : CNC MILL
MANUFACTURING : CNC ROUTER
MANUFACTURING : CNC LASER
MANUFACTURING : OPERATOR
MANUFACTURING : PROGRAMMER
MANUFACTURING : WELDING TIG/MIG
MANUFACTURING : AUTOCAD
SHIPPING & RECEIVING : RF SCANNER
SHIPPING & RECEIVING : UPS/FEDEX
SHIPPING & RECEIVING : BILL OF LADING
SHIPPING & RECEIVING : AIRWAY BILLS
SHIPPING & RECEIVING : FREIGHT FORWARD
SHIPPING & RECEIVING : MAGAYA
SHIPPING & RECEIVING : EDITRADE
SHIPPING & RECEIVING : ABI
SHIPPING & RECEIVING : CUSTOMS BROKER
SHIPPING & RECEIVING : IMPORT/EXPORT
JANITORIAL : MAINT & REPAIR
JANITORIAL : CLEANING
JANITORIAL : FLOOR CARE
JANITORIAL : DISHWASHER
JANITORIAL : HANDYMAN
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
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February 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:
February 2025
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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:
February 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 4
Name of Employer:
Employment Dates
From:
February 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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