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:
September 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:
Cities:
Skills
Skills:
ADMIN ASSIST/OFFICE : General
ADMIN ASSIST/OFFICE : Legal
ADMIN ASSIST/OFFICE : Marketing
ADMIN ASSIST/OFFICE : Manufacturing
ADMIN ASSIST/OFFICE : Financial
ADMIN ASSIST/OFFICE : Customer Service
ADMIN ASSIST/OFFICE : Telemarketing In/Out
ADMIN ASSIST/OFFICE : Filing
ADMIN ASSIST/OFFICE : Invoicing
ADMIN ASSIST/OFFICE : Receptionist
EQUIPMENT : Copier
EQUIPMENT : Fax
EQUIPMENT : Postage Meter
EQUIPMENT : Calculator
EQUIPMENT : Computer
EQUIPMENT : Scanner
EQUIPMENT : Phones
EQUIPMENT : # In Ext. _
EQUIPMENT : # In lines / Ex
BOOKKEEPING/ACCOUNTING : Full Charge
BOOKKEEPING/ACCOUNTING : Assistant
BOOKKEEPING/ACCOUNTING : Accts Payable
BOOKKEEPING/ACCOUNTING : Accts Receivable
BOOKKEEPING/ACCOUNTING : Collections
BOOKKEEPING/ACCOUNTING : Reconciliation
BOOKKEEPING/ACCOUNTING : Payroll
BOOKKEEPING/ACCOUNTING : Tax Preparation
BOOKKEEPING/ACCOUNTING : Budget Analysis
BOOKKEEPING/ACCOUNTING : Auditing
PROGRAMS : Microsoft Office
PROGRAMS : MS Word
PROGRAMS : Excel
PROGRAMS : Power Point
PROGRAMS : Publisher
PROGRAMS : Outlook
PROGRAMS : Google Docs
PROGRAMS : QuickBooks
PROGRAMS : Adobe Acrobat
PROGRAMS : Adobe Photoshop
ADDITIONAL CLERICAL SKILLS : Loan/Banking Term
ADDITIONAL CLERICAL SKILLS : Legal Terminology
ADDITIONAL CLERICAL SKILLS : Proofreading
ADDITIONAL CLERICAL SKILLS : Internet
ADDITIONAL CLERICAL SKILLS : Mail Room
ADDITIONAL CLERICAL SKILLS : Leasing
ADDITIONAL CLERICAL SKILLS : Bilingual? Y/N
ADDITIONAL CLERICAL SKILLS : Language:______
ADDITIONAL CLERICAL SKILLS : Other:__________
ADDITIONAL CLERICAL SKILLS : ____________
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:
September 2024
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To:
September 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:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
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To:
September 2024
Sun
Mon
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36
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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:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
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2
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37
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29
30
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41
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To:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
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2
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37
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39
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40
29
30
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2
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41
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12
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:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
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38
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39
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30
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41
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To:
September 2024
Sun
Mon
Tue
Wed
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Fri
Sat
36
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37
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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:
Apply For The Job
I hereby authorize BarryStaff Inc. and all former employers, and others given by me as reference, to answer all questions and to give all information in connection with this application or in any way concerning me, and it is understood and agreed that any misrepresentation (including omission of information) by me in this application will result in cancellation of the application and/or immediate termination of employment with BarryStaff Inc. I agree, if employed by BarryStaff Inc., that if ever I make claims against you for personal injuries, upon your request I shall submit to drug screens and examinations by physicians of your selection. Your employment of me may be terminated by BarryStaff Inc. at any time without any liability to me except for wages and salary as have been earned by me at the date of such termination. I understand that it is my responsibility to notify you of my availability on a weekly basis at a minimum, and if I do not, I will be considered unavailable for work.
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