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Employment Application

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.

 


Personal Information

Are you at least 18 years of age and do you have the legal right to work in the United States?*
Are you willing to take a drug test?*
Have you ever been convicted of a felony or misdemeanor?*
 
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*
Resume - If you have a plain-text resume, paste it into the box below.
 


Availability

Are you willing to take a temporary or temp-to-hire assignment?
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?
What location/area are you seeking?
     


Education

Enter most recent - Do not enter start and end date if the most recent is high school
Name of School
Type of school
Street Address
City  
State / ZIP Code  
Start Date (Month / Year)
End Date (Month / Year)
Degree
Major Study Area
Other Studies


Recent Employment

List most recent first
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Company Phone -- Area code and phone number
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
Company Phone -- Area code and phone number
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
Company Phone -- Area code and phone number
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

*** Please mark the jobs descriptions below that you have past experience performing. ***

 Accounting / Finance
Accounting Accounts Payable Accounts Receivable
Audits Banking Banking - Commercial
Banking - Retail Bookkeeping Brokerage
Budgets Certified Accountant Chief Financial Officer
Controller Cost Accountant General Ledger
Lending Payroll Securities
Staff Accountant Taxes
 
 Human Resources
Benefits Administration Compensation Employee Relations
Hiring / Interviewing HR Certification Human Resources Dept
Recruiting Safety Training
Workers Compensation
 
 Information Technology
Certification Database Management Hardware
Help Desk Support Information Technology Network Administration
Operating Systems Programming Server Support
Software Application Design System Administration Website Development
 
 Light Industrial
Assembly Forklift Operator Inventory
Janitorial Loading / Unloading Machine Operator
Maintenance Order Picker / Packer Packaging / Warehouse
Packaging / Warehouse Manager Printing Production
Shipping / Receiving Technician
 
 Office / Clerical
Administrative Assistant Call Center Customer Service
Data Entry Executive Assistant Filing
Mailroom Marketing Office Admin - Insurance
Office Admin - Legal Office Admin - Medical Office Manager
Receptionist Records Management Sales - Inside
Sales - Outside Telemarketing Typing
 
 Software
CAD / CAM Crystal Reports Database - ACT / Goldmine
Database - MS Access Database - Other Database - SQL
E-Mail - Lotus Notes E-Mail - MS Outlook E-Mail - Other
Finance - Great Plains Finance - Other Finance - Peachtree
Finance - Quickbooks Food Service Graphics - MS Powerpoint
Graphics - MS Publisher Graphics - Other Graphics - Pagemaker
Graphics - Photoshop HR - Peoplesoft OS - Apple
OS - Other OS - Windows Vista OS - Windows XP
Project Management Retail Spreadsheets - MS Excel
Spreadsheets - Other Word Processing - MS Word Word Processing - Other
 

I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person or entities from all liability for damages for issuing such information.

When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested.

I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time without liability to me for wages or salary except for such wages or salary which I earned prior to the date of my termination. I understand the term of my employment shall be limited to the duration of any assignment 
that I accept.

I am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the employer to inform me that a routine inquiry may be made that will provide applicable information concerning my character, my general reputation, my personal characteristics and my credit history. Upon written request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

I understand that I am applying for temporary or contract assignments. The completion of this application process shall constitute a conditional offer of employment subject to my availability and the availability of customer assignments calling for the skill and qualifications that I possess, and I agree to consider acceptance of such assignments.

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*:    


Nextaff 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 or disability. We assure you that your opportunity for employment with Nextaff depends solely on your qualifications.