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Application For Employment

General Information

First Name


Last Name





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Position(s) Applied for

Date of Application

How did you learn about Personnel Solutions?

Have you applied for a position with us before?

Have you been employed with us before?

Are you currently employed?

Are you currently on lay-off status and subject to recall?

What date are you available for work?

Are you available to work:

Can you travel out of town for more than one day for work if necessary?

Would you be available to work on any weekends?

Are you available to work overtime when required?

Are you a citizen of the United States?

Are you legally permitted to work in the United States?

Are you 18 years of age or older?

Are you willing to take drug tests at the Company's request?

Have you ever gone by any other name than the one listed above?

If yes, what name(s)?