Job Overview

Date Posted: Posted 2 months ago
Location: Anywhere
Job Title: PLAINFIELD JOBS

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Personal Information

Full name

Address Line 1

Address Line 2 (optional)

City

State

Postal / Zip Code

Phone Number

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone Number

Education Level

Do you have a valid driver`s license?

Employment Information

Desired Wage

Available Start Date

Preferred Shift(s)

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Current Employment Status

Clerical Experience (optional)

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Warehouse/Manufacturing Experience (optional)

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Other (optional)

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Employment History

Current/Previous Employer

Current/Previous Job Title

Current/Previous Job Location

Current/Previous Job Pay

Current/Previous Job Start Date

Current/Previous Job End Date (optional)

Reason For Leaving (optional)

Previous Employer (2) (optional)

Previous Job Location (2) (optional)

Previous Job Title (2) (optional)

Previous Job Pay (2) (optional)

Previous Job Start Date (2) (optional)

Previous Job End Date (2) (optional)

Reason For Leaving (2) (optional)

Background Screening

Are you willing to undergo prescreening including drug/criminal/credit or other job specific screening as may be required by an assignment offered by StaffMax?

I understand that an investigative report may be generated on me that may include information as to my character, general reputation, personal characteristics, or mode of living; work habits, performance or experience, along with reasons for termination of past employment/professional license or credentials; financial/credit history; or criminal/civil/driving record history. I understand that StaffMax, or its authorized agents may be requesting information from public and private sources about any of the information noted earlier in this paragraph in connection with StaffMax`s consideration of me for employment, promotion or position re-assignment or contract now, or at any time during my tenure with StaffMax, and give my full consent for this information to be obtained.

I understand

I acknowledge that a telephonic facsimile (FAX) or photographic copy of this release shall be as valid as the original. This release is valid for most federal, state and county agencies.

I acknowledge

I hereby authorize, without reservation, any financial institution, law enforcement agency, information service bureau, school, employer or insurance company contacted by StaffMax or our authorized agents, to furnish the information described in Section I.

I authorize

Full Name

Other Names Used (optional)

Date Of Birth

Driver`s License/Identification Number

Have you ever been convicted or plead guilty before a court of any federal, state, or municipal criminal offense?

Fair Credit Reporting Act Notice:

In accordance with the Fair Credit Reporting Act (FCRA, Public Law 91-508, Title VI), this information may only be used to verify a statement(s) made by an individual in connection with legitimate business needs. The depth of information available varies from state to state. Status of updates are available upon request. Although every effort has been made to assure accuracy, StaffMax`s authorized agent(s) cannot act as guarantor of information accuracy or completeness. Final verification of an individual`s identity and proper use of report contents are the users responsibility. Our authorized agent, has a policy that requires purchasers of these reports to have signed a Service Agreement. This assures that StaffMax`s authorized agent(s) are familiar with and will abide by their obligations, as stated in the FCRA, to the individuals named in these reports.

10 Year Residential History

Please list full address and estimated date of arrival and departure of past residences

** You MUST list where you have lived for the past 10 years

Resume Upload (If a PDF, Word Doc, etc) (optional)

Browse

Maximum file size: 256 MB.

Resume URL (If hosted online) (optional)

I understand that in connection with my application for employment with StaffMax USA. StaffMax will research and verify the information I have provided on my application for employment, including my personal background, character, professional standing, work history, and qualifications. I understand that StaffMax will obtain information it deems appropriate from various sources including, but not limited to, the following: credit reporting agencies, current and past employers, criminal conviction records, Department of Motor Vehicle records, military records, school records, and professional and personal references. I authorize, without reservation, any individual, corporation or other private or public entity to furnish StaffMax all information about me This authorization and consent, in original, faxed, photocopied or electronic form, shall be valid for this and any future reports and updates that may be requested by StaffMax. I agree to furnish additional information as may be requested. I authorize StaffMax to use any information obtained in this application for all matters relating to my suitability for initial or continued employment.

Please sign your name if you agree.

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PLAINFIELD JOBS

Job Overview

Apply For This Job

Personal Information

Employment Information

Employment History

Background Screening

Fair Credit Reporting Act Notice:

10 Year Residential History