apply.matchstaffing.comEmployment Application

EMPLOYMENT APPLICATION Thank you for taking the time to complete our online employment application. Please fill out the application below as completely as possible. This application will take approximately 15 minutes to complete. Personal Information Are you at least 18 years of age and do you have the legal right to work in the United States? Yes No First Name (Required) Middle Name Last Name (Required) Nickname / Preferred Name Street Address / Apartment City State / ZIP Code MMMMMMMMMMMMMMMMMM Home Phone (Required) - Area code and phone number Other Phone - Area code and phone number Cell Phone - Area code and phone number Email Address Resume - If you have a plain-text resume, paste it into the box below. Availability Are you willing to work temporary? Yes No Are you looking for a full-time career position? Yes No Are you looking for contract positions? Yes No When are you available to start? MMMMMMMMM 00 0000 What weekday hours are you available? First Shift First and Second Shift All Shifts First and Third Shift Second Shift Second and Third Shift Third Shift If necessary Not available AM only PM only What weekend hours are you available? First Shift First and Second Shift All Shifts First and Third Shift Second Shift Second and Third Shift Third Shift If necessary Not available AM only PM only How many hours are you willing to work in a week? Part Time (0 to 20 hours a week) Full Time (More than 20 hours a week) Are you willing to work overtime? Yes No What is the minimum pay you desire? Hourly rate or annual salary How much notice will you need if a position is offered to you? One Day 1 Week 2 Weeks 3+ Weeks More Than One Day Same Day How many miles are you willing to travel to a position? Education Enter most recent - Do not enter start and end date if the most recent is high school Name of School Type of school Community College High School Professional School Technical or Trade School University Other Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Degree Trade School Certification High School Diploma GED Attended College, No Degree College Coursework in Progress Associate Degree Bachelor’s Degree Bachelor of Arts Bachelor of Science Master’s Degree Masters of Arts Master of Business Administration Masters of Science Doctorate Degree Philosophiae Doctor Juris Doctorate MD Other Major Study Area Other Studies Recent Employment List most recent first Company Name City State / ZIP Code MMMMMMMMMMMMMMMMMM Supervisor Name Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Start Wage Hourly rate or annual salary End Wage Hourly rate or annual salary Why did you leave? May we contact this employer for a reference check? Yes No Company Name City State / ZIP Code MMMMMMMMMMMMMMMMMM Supervisor Name Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Start Wage Hourly rate or annual salary End Wage Hourly rate or annual salary Why did you leave? May we contact this employer for a reference check? Yes No Company Name City State / ZIP Code MMMMMMMMMMMMMMMMMM Supervisor Name Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Start Wage Hourly rate or annual salary End Wage Hourly rate or annual salary Why did you leave? May we contact this employer for a reference check? Yes No Criminal Background & Drug Screen Have you ever been convicted of a crime, other than a minor traffic violation? If yes, please explain: Yes No Can you pass a drug test today? Yes No Skills (check as many as apply) Accounting Accounting Accounts Payable/Receivable Payroll Bookkeeper Collections Purchasing Controller/CFO Office - Clerical - Administrative Administrative Asst. Receptionist - Front Desk Data Entry Microsoft Word Microsoft Excel Executive Admin. Asst. Legal, Professional and Sales Legal Secretary Paralegal Banking Insurance Human Resources Sales Meidcal Medical Office LPN Phlebotomist Dental Hygienist Medical Lab Technician Medical Records Medical Billing or Coder Technical and Other Computer networking Computer support Writer, publisher, editor Graphic Design Speak Korean Speak Spanish Industrial General Labor General Labor - under 25# General Labor - over 25# Industrial Maintenance Pipe Fitter Industrial Printing Services Mechanic Mechanic - Diesel Maintenance Building Tradesman Helper Commercial Driving Forklift Heavy Equipment Operator Delivery Truck - Less than 10,000 GVW Delivery Truck - More than 10,000 GVW Tractor/Semi Trailor CDL Driver DOT Driver Assembly Assembly Electronic Assembly Blue Prints Electrical Wiring Production Assembly Soldering Quality Control Inspector/Tester Packaging/Warehouse Inventory Load/Unload Ship/Receive Packaging/Warehouse Picking/Packing Construction Construction Electrician Painter Interior/Exterior Building Industrial Spray Painter Welding Gas Metal Arc Mig Gas Tungsten Arc Tig Oxy Acetylene Gas Welding Electric Arc Plastic Spot Welder Machine Operator Machine Operator Blow-Molding Brake Press Injected Metal Molding - Die Cast Injected Plastic Molding - Die Cast Punch Press/Stamping Hand Tool Drill Press Drilling and Boring Grinding Lathe Machinist Milling Maching Millwright Sheet Metal Fabricator Tool and Die Maker I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment by JobMarks, Inc. d/b/a Match Staffing (the Employer”). I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job. I hereby release such person or entities from all liability for damages for issuing such information. I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time without liability to me for wages or salary except for such wages or salary which I earned prior to the date of my termination. . I understand my wages may be reduced to minimum wage should I not follow employment guidelines of the Employer. I understand the term of my employment shall be limited to the duration of any assignment that I accept. Notwithstanding the duration of an assignment, I acknowledge that my employment is at-will and that the Employer or I may terminate my employment at any time. I acknowledge that the Employer may perform an inquiry that will provide applicable information concerning my character, reputation, criminal background and my credit and financial history. Upon request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced. I agree to resolve any dispute, claim, or controversy that may arise between me and the Employer regarding a failure to be hired or termination from employment exclusively in accordance in accordance with the Employer’s dispute resolution policy which includes mediation and arbitration of all such disputes. I represent and warrant that I have fully read and completely understand the foregoing and seek employment under these specified conditions. Please take a moment to review your application. Indicate that you have read the above statement by entering your initials in the box below. To complete this application, click on the Submit Application button. Initials: This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your...