Apply for the Job of Your Dreams With Advantage Staffing!
Advantage Staffing probably has exactly the job you have been looking for. By filling in this form, you make it possible for Advantage Staffing to do a preliminary review of basic information in preparation for interviews and testing. Please note: in order to serve you quickly and efficiently, fields should be filled in as completely as possible. The more you tell us, the more likely we will be to find the right job for you! Fields marked with an asterick * are required in order for this form to process. All applications will receive a fair review. Thank you for your cooperation.
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Your Name* (Digital Signature):
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Social Security Number*:
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Mailing Address*:
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City*:
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State*:
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Zip:
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Home Phone Number*:
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Message Phone Number*:
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Email Address:
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Emergency Contact:
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Emergency Contact Phone Number:
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Today's Date:
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Do You Have Reliable Transportation?
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Do You Have a Valid Driver's License?
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Do You Have a CDL?
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What County do you live in?
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How far are you willing to travel
from your home to work?
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What is the minimum wage you require?
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What days of the week
are you available to work?
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Multiple selections may be made by holding down the shift key when clicking on days. |
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What shifts are you available to work?
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Multiple selections may be made by holding down the shift key when clicking on days. |
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Describe Your Ideal Place of Employment.
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Number of Years Completed in School
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Are You Currently a Student?
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List any special certifications,
training or licenses
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What languages do you speak?
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Have you ever been
convicted of a felony?
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If yes to above, when?
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How soon are you available
to start work*?
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Will you accept same day assignments?
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Are you available part time or full time?
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Do you have any pre-existing medical conditions that could hinder your ability to perform any specific job related tasks?
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If you answered yes above, please list any special accommodations you require.
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Please provide information on your work history.
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Employer:
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Start date:
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End date:
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Employer address:
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Employer phone number:
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Supervisor:
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Your Position:
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Employer:
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Employer address:
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Supervisor:
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Your Position:
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| Note: By submitting this application, you authorize Advantage Staffing, Inc. to conduct research and prepare a routine investigative report. You agree to give permission to check references in an effort to obrain a qualitative report on your qualifications as a candidate for employment. You also agree to expressly resolve your former employers of any liability. |
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Please click submit button only once and be patient. |
PO Box 794 • Dale, IN • Phone: (812) 937-9781 • Fax: (812) 937-9784 • Email
View our privacy statement
Advantage Staffing, Incorporated is an equal opprtunity employer |