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Job Seeker Services
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Job Seeker Services
You may enter as much information in each section as you need,
but please note that fields with a
*
are required
You
MUST
click the
SUBMIT button
at the end of this application
in order for Staff Right to receive your information!
*
First Name
*
Last Name
*
Home Phone
Alternate Phone
*
Street Address
*
City
*
State
Zip
*
How far are you willing to travel?
*
Are you currently employed?
Yes
No
Can you report to work the same day you are called?
Yes
No
E-mail Address
Emergency Contact:
Phone
:
Do you have a shift preference?
1st Shift
2nd Shift
3rd Shift
Are there days you
cannot
work?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
If there is a position on our Job List you are
interested in, please indicate the Job Code here:
EDUCATION:
Highest level attained?
High School
College/Trade School
# Years?
If college, name:
Major/Degree:
WORK HISTORY
:
Please list your last three employers, most recent first
*
Employer 1
*
City
*
Phone
*
Date Started
*
Date Ended
*
Duties
:
*
Reason Left
:
Employer 2
City
Phone
Date Started
Date Ended
Duties
:
Reason Left
:
Employer 3
City
Phone
Date Started
Date Ended
Duties
:
Reason Left
:
If you have any additional skills or other information you would like us to know about you, please comment:
Please submit my application!
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