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Employment Application

Application Infromation

We are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including race, color, age, sex, religion, disability, or national origin.
Have you ever worked for this company?
Have you ever been convicted of a felony?
Did you graduate?
Did you graduate?
Previous Employment
Company 1
May we contact your previous supervisor for a reference?
Company 2
May we contact your previous supervisor for a reference?
Office Typing
Emergency Contact
Please list two professional references
Reference 1
Reference 2
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that I am applying for work and I authorize Staffing Specialists to check my reference. I agree to contact Staffing Specialists after each assignment is completed. I agree that I am an employee of Staffing Specialists and if I obtain permanent employment with the company where I am placed. I agree to pay recovery changes. I also agree that if I abandon an assignment, my salary will be dropped to minimum wage.