Apply to work – PARTNERS STAFFING

First Name *

Last Name *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country

Social Security No. *

Date of Birth *

U.S. Citizen? *

Phone *

Email Address

Date Available

Desired Salary (optional)

USD

Position Desired

Other Position Desired

Are you applying for a specific job?

Are you willing to travel?

What qualities do you look for in a job/career? (optional)

Highschool (optional)

Did you graduate?

College (optional)

Did you graduate?

Business or Trade School?

Did you graduate?

Any special skills or training related to the job?

Primary Trade

Years of experience

Secondary Trade

Years of experience

Other Trade / Relevant Experience

Primary Trade State License (if applicable)

ID#

Date Issued

Company 1

Phone

Hire Date

Ending Date

Starting Pay

Ending Pay

Job Duties / Responsibilities

Reason For Leaving

May We Contact?

If not, please explain:

Supervisor Name

Supervisor Phone Number

Company 2

Phone

Hire Date

Ending Date

Starting Pay

Ending Pay

Job Duties / Responsibilities

Reason For Leaving

May We Contact?

If not, please explain:

Supervisor Name

Supervisor Phone Number

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Relationship

Phone

Name

Relationship

Phone

Military Service

Date of Discharge

Rank at Discharge

Have you been convicted of a felony in the last 5 years?

If yes, please explain (a conviction will not necessarily exclude you from consideration)

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