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Personal Information:

Position Applied for:

Looking for:

Full-Time Part-Time

Date of Application:

Name (Last, First, MI):

Date you can start:

Address (Name & Street):

Home Phone:

City:

State:

Zip Code:

Cell Phone:

Email Address:

Do you speak English?

Do you have a valid driver’s license?

License Number:

Exp:

Do you own an automobile?

Are you under 18 years of age, if so, can

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? (Please provide)

Do you have any relatives working 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 :

University

Name & Location:

Did you graduate?

Degree or Diploma :

Trade School

Name & Location:

Did you graduate?

Degree or Diploma :

Hours Of Availability (Please provide hours of availability eg: 8:00am to 2:00pm)

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

Skills and Qualifications

Skills and Qualifications:

Any other Languages you speak:

References (Please exclude relatives)

Ref 1:

Name:

Profession:

Phone Number:

Years Known:

Ref 2:

Name:

Profession:

Phone Number:

Years Known:

Ref 3:

Name:

Profession:

Phone Number:

Years Known:

Employment History (Please account for all employment within the last 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):

Contact Number:

Reason for Leaving:

Job 2

Company Name:

Address:

Name of Supervisor:

Job Title/Describe Work:

Phone:

Employed (start month and year):

Contact Number:

Reason for Leaving:

Job 3

Company Name:

Address:

Name of Supervisor:

Job Title/Describe Work:

Phone:

Employed (start month and year):

Contact Number:

Reason for Leaving:

Job 4

Company Name:

Address:

Name of Supervisor:

Job Title/Describe Work:

Phone:

Employed (start month and year):

Contact Number:

Reason for Leaving:

List any additional information you would like us to consider:

UPLOAD YOUR DOCUMENTS: All candidates for employment to submit a resume with their application. If not available at the time of submittal; applicant will be provided 5 days from the submittal of application to provide SPS their resume. No application of employment will proceed without a resume.

Important: Please read and electronically 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.

Applicant Signature

Date of Application:

Job Application

Apply for this Job

Personal Information:

Education

High School

College

University

Trade School

Hours Of Availability (Please provide hours of availability eg: 8:00am to 2:00pm)

Skills and Qualifications

References (Please exclude relatives)

Ref 1:

Ref 2:

Ref 3:

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

Job 1

Job 2

Job 3

Job 4

List any additional information you would like us to consider:

Important: Please read and electronically sign

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