Application for Employment

 

Today's Date
Date Available
Social Security #
Birthday (Month/Day)
Full Name
Preferred Name
                              Last, First, Middle Initial
Address
Apt.#
City
         State        Zip
Home Phone
Cell
Emergency Contact
Phone
                               Name and Relationship
Email
 Preferred Schedule: part time or full time
Preferred hours
to
Acceptable hours
to
Can you work weekends? Yes/No If yes, what hours are you available
Means of Transportation: Bus/Own Car/Share Car/Other
How did you hear about Priority One Staffing?
Position(s) you are applying for
Desired Pay:Minimum
per hour Preferred
per hour or ANNUALLY
 
Have you worked for another staffing agency in the past two years? Yes No
If yes. list companies assigned to: