Application for Employment We are an equal
opportunity employer.
Date of Application:
Position(s) Applied For:
How Did You Learn About
Us?
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Employment Agency
Friend
Relative
Walk-In
Other
About You
Name:
Address:
City, State, Zip:
Home Phone:
Day Phone:
E-Mail Address:
If you are under 18 years of
age, can you provide required proof of your
eligibility to work?
Yes
No
Have you ever filed an
application with us before?
Yes
No
Have you ever been employed
by us before?
Yes
No
Are you currently employed?
Yes
No
May we contact your present
employer?
Yes
No
Are you prevented from
lawfully becoming employed in this country
because of Visa or Immigration Status?
Yes
No
On what date would you be
available for work?
Are you available to work:
Full-Time
Part-Time
Shift Work
Temporary
Are you currently on
"lay-off" status and subject to recall?
Yes
No
Can you travel if a job
requires it?
Yes
No
Have you been convicted of a
felony within the last 7 years?
Yes
No
Additional Skills
Military Training
Employment Experience
Employment:
Employer:
Address:
Telephone:
Job Title:
Supervisor:
Reason for Leaving:
Dates Employed
From:
To:
Hourly Rate or Salary
Start:
Final:
Job Duties:
Previous Employment:
Employer:
Address:
Telephone:
Job Title:
Supervisor:
Reason for Leaving:
Dates Employed
From:
To:
Hourly Rate or Salary
Start:
Final:
Job Duties:
Please describe why you
would like to work for AccuTemp Air
References
Name:
Address:
Telephone:
Name:
Address:
Telephone:
Name:
Address:
Telephone:
Applicant's Statement
By
submitting this form I acknowledge that I have
read and fully understand the "Applicant
Statement" of this application.
