Job Application

Personal Information: Position Applied For:
Date of Application:
Name (Last, First, MI):
Date you can start:
Address (Name & Street):
Home Phone:
City:
State:
Zip Code:
Cell Phone:
Do you have a valid license?
If yes, please provide License Number:
License Expiry:
Are you under 18 years of age, if so, can you furnish a work permit?
Are you available to work weekends and holidays?

Have you ever been convicted of a criminal act?
(Include any crime, misdemeanor or felony, even where the conviction was set aside under Penal Code 1203.4 or 1203.4a)

If yes, please provide date(s) and details (Conviction record would not necessarily be a bar from employment. Factors such as age at time of offense, seriousness and nature of the violation, and rehabilitation will be taken into account):

Who referred you to our company?
Do you have any relatives for the company? List their names

Education:

High School

Name & Location
Did you graduate?
Degree or Diploma

College

Name & Location
Did you graduate?
Degree or Diploma

College

Name & Location
Did you graduate?
Degree or Diploma

Trade School

Name & Location
Did you graduate?
Degree or Diploma

Hours of Availability: Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Skills and Qualifications: Skills and Qualifications:
Languages you speak:

References:

Ref: 1

Name
Address
Phone Number
Years Known

Ref: 2

Name
Address
Phone Number
Years Known

Ref: 3

Name
Address
Phone Number
Years Known

Employment:

Please account for all employment within the last seven (7) years, beginning with your current or last employer

Job: 1

Company Name
Address
Name of Supervisor
Job Title / Describe Work
Phone
Employed (Start month and year) From
Employed (Start month and year) To
(Hourly Rate) Start
(Hourly Rate) Last
Reason for Leaving

List any additional information you would like us to consider
Upload your cv (word, pdf format)

Note:

Solutions Plus Services, Inc. is an equal opportunity employer and does not discriminate on the basis of race, color, sex, national origin, marital status, age, mental or physical disability, familial status, sexual orientation, or gender identity in its employment practices, in accordance with local, state and federal laws. Solutions Plus Services, Inc. conducts a criminal fingerprint check on all applicants and may in the course of hiring, conduct a background check on all information supplied to include education, previous employment, and references. Solutions Plus Services, Inc. is an 'at-will' employer and your employment may be terminated at any time for any reason, with or without notice and you may terminate your employment at any time, for any reason, with or without notice.

IMPORTANT: PLEASE READ AND SIGN

I certify that the information contained in this document is true and correct to the best of my knowledge. I understand that if I provide false or misleading information on this application it will be grounds for terminating my employment. I hereby authorize Solutions Plus Services, Inc. to investigate all information in this document and I release from liability, Solutions Plus Services, Inc. and all persons and organizations reporting information required by this application. I understand that my employment at Solutions Plus Services, Inc. is contingent upon successfully passing a criminal fingerprint check.

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