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Personal Information

*  DENOTES THIS IS A REQUIRED FIELD

Date: *
Social Security Number: *
Last Name: *
First Name: *
Address: *
City: *
State: *
ZIP code: *
E-Mail Address:
Home Phone Number: *
Alternate Phone Number:
Position applied for: *
Are you seeking: Full-Time
Part-Time
Either
Expected pay: *
Date available to start work: *
Referred by: *
Are you 18 years of age or older? Yes No*
Are you legally eligible for employment in the United States?

If yes, proof is required.

Yes No*
Location Desired: *

 


Employment Information
Special Training or Skills:

Languages, software, etc., that would be a benefit for a job you are applying.



Education
High School
Name and Location of School: *
Last Year Completed: 9 10 11 12*
Graduated? Yes No*
Subjects Studied and Degree(s) Received:
 
College
Name and Location of School:
Last Year Completed: Fr So Jr Sr
Graduated? Yes No
Subjects Studied and Degree(s) Received:
 
Trade, Business or Correspondence School
Name and Location of School:
Last Year Completed: Fr So Jr Sr
Graduated? Yes No
Subjects Studied and Degree(s) Received:



Former Employers
List below your last four employers, starting with the most recent employer.

 

Name of Employer: *
Address of Employer: *
From (Month & Year): *
To (Month & Year): *
Job Title: *
Work Performed: *
Salary (upon leaving): *
Reason for Leaving: *
Supervisor: *
Phone Number *
 
Name of Employer:
Address of Employer:
From (Month & Year):
To (Month & Year):
Job Title:
Work Performed:
Salary (upon leaving):
Reason for Leaving:
Supervisor:
Phone Number
 
Name of Employer:
Address of Employer:
From (Month & Year):
To (Month & Year):
Job Title:
Work Performed:
Salary (upon leaving):
Reason for Leaving:
Supervisor:
Phone Number
 
Name of Employer:
Address of Employer:
From (Month & Year):
To (Month & Year):
Job Title:
Work Performed:
Salary (upon leaving):
Reason for Leaving:
Supervisor:
Phone Number


References
Name: *
Position: *
Years Acquainted: *
Address:
Phone Number: *
 
Name:
Position:
Years Acquainted:
Address:
Phone Number:
 
Name:
Position:
Years Acquainted:
Address:
Phone Number:


Resume


 

Please e-mail your resume as a MS Word attachment to hr@finstaff.com


Please read the following disclosures and scroll down to submit this application.


Consumer Credit Report Disclosure:

Financial Staffing Resources, Ltd. (FSR), as a part of the procedure for processing your employment application, may obtain a consumer credit report containing financial and other information about me from a credit reporting agency.

FSR will not obtain as such a report without your authorization.

FSR complies with the Fair Credit Reporting Act, which provides consumers with rights regarding consumer reports, and which places specific obligations on employers using credit reports.

Authorizations:

I understand that no employment offer is being made by at this time. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other material, or during interviews is grounds for disqualification from further consideration for employment or for termination if employed.

I authorize FSR to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, qualifications, credit history, criminal background, and other relevant information, if job-related. I give my full consent for all contracted persons including former employers to provide the information concerning this application, and I waive my right to bring any cause of action against these individuals for any and all liability for damages arising from furnishing the requested information to the company.

I authorize FSR to obtain a consumer credit report containing financial and other information about me from a consumer reporting agency as a part of the company’s investigation into my application for employment. I also release parties involved in this process from liability connected with my consumer credit report.

A company paid drug test may be required. I understand that any offer of employment may be withdrawn if I test positive for drugs and/or if condition is discovered for which not reasonable accommodation can be made.

I understand that if I am hired, my employment at the company is “at-will” and may be terminated by myself or by the company at any time for any reason, with or without cause or notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I UNDERSTAND AND ACCEPT THE ABOVE AUTHORIZATION.*

BY SUBMITTING THIS APPLICATION, I AM AUTHORIZING (FSR) TO OBTAIN A CREDIT REPORT AND I VERIFY THE INFORMATION CONTAINED IN THIS APPLICATION TO BE TRUE AND CORRECT.*


 


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