EMPLOYMENT APPLICATION

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Thank you for taking the time to complete our online employment application. Please fill out the application below as completely as possible. This application will take approximately 15 minutes to complete.

If you are unable to fill out the application on-line please call 414-489-2405 for assistance.
 

Personal Information
Are you at least 18 years of age and do you have the legal right to work in the United States?
Yes No
 
First Name *
Middle Name
Last Name *
Nickname / Preferred Name
Street Address / Apartment *  
City *
State * / ZIP Code *    
Home Phone * - Area code and phone number
Other Phone - Area code and phone number
Email Address *
(* Required Field)

 

Availability
Are you willing to work temporary?
Yes No
Are you looking for a full-time career position?
Yes No
Are you looking for contract positions?
Yes No
When are you available to start?
What weekday hours are you available?
What weekend hours are you available?
How many hours are you willing to work in a week?
Are you willing to work overtime?
Yes No
What is the minimum pay you desire? Hourly rate or annual salary
How much notice will you need if a position is offered to you?
How many miles are you willing to travel to a position?
Type of position you are interested in?
     

Education
Enter most recent -
 
Name of School
Type of school
Street Address
City  
State / ZIP Code  
Degree
Major Study Area
Other Studies

Employment History
List most recent first 
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)  
End Date (Month / Year)
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
Reason for Leaving  
May we contact this employer for a reference check?
Yes No
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)  
End Date (Month / Year)
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
Reason for Leaving  
May we contact this employer for a reference check?
Yes No
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)  
End Date (Month / Year)
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
Reason for Leaving  
May we contact this employer for a reference check?
Yes No
 

Criminal History

Have you ever been convicted of a crime or are there any pending felony or misdemeanor criminal charges or investigations against you?
Yes No
 
If "Yes" explain each conviction, pending criminal charge and investigation.  Please list all felonies and misdemeanors convictions.  A conviction or pending criminal proceeding will not necessarily bar you from employment.  However, any omissions will result in the rescinding of a job offer or termination of employment for falsification of an application.

 

Areas of Ability
Light Industrial Skilled Industrial Administrative Support
Customer Service/Call Center Professional
 
 

I certify that the answers given by me to the foregoing questions and statements are true and correct and without omissions of any kind. I understand that making false statements or omitting pertinent facts will be a legitimate basis for rejection of my application or dismissal from employment. I agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this application. I also authorize the companies, schools or persons name above to give any information regarding my employment, character and qualifications. I hereby release said companies, schools or persons from all liability for issuing this information for issuing such information.

In consideration of my employment, I agree to conform to the rules and regulations of this agency. I understand that my employment an compensations may be terminated, with or without notice, at any time, at the option of either the Company or myself. I understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by this agency. I also understand and agree that as a condition of employment I may be required to undergo periodic drug screens, and must be able to perform the essential functions of any position I hold. I understand any offer of employment may be contingent upon satisfactory references and criminal background verification. Applicants being considered for hire are subject to pre-employment drug testing.

Please take a moment to review your application.  Indicate that you have read the above statement by entering your initials in the box below.  To complete this application, click on the Submit Application button.
Initials:    


This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, disability or other characteristics prohibited by applicable law. We assure you that your opportunity for employment with this Company depends solely on your qualifications.