apply.phoenix-personnel.comEmployment Application

! EMPLOYMENT APPLICATION For Phoenix Personnel An Equal Opportunity Employer Applicants are considered for all positions without regard to race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, or any other status protected by applicable federal, state, or local law. Thank you for taking the time to fill out our online employment application! Please fill out this application as completely as possible. 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 (Required) Middle Name Last Name (Required) Nickname / Preferred Name Street Address / Apartment City State / ZIP Code MMMMMMMMMMMMMMMMMM Mailing Address (if different from above) Street Address / Apartment City State / ZIP Code MMMMMMMMMMMMMMMMMM Home Phone (Required) - Area code and phone number Cell Phone - Area code and phone number Email Address Emergency Contact and Phone Are you a Veteran? Yes No Have you ever been convicted of any crime (including driving violations)? If Yes,” state the nature of the offense, where and when it occurred, the sentence imposed, and any further information you would like us to know. Yes No I would prefer to work for clients that do not require a drug screen Yes No How did you hear ? Our Website Walk-in/Signage FaceBook Referral Newspaper Ad Career Center College/University Other Availability Are you looking for Temporary? Yes No Are you looking for Temp-to-Hire? Yes No Are you looking for Direct Hire? Yes No When are you available to start? MMMMMMMMM 00 0000 What weekday hours are you available? First Shift First and Second Shift All Shifts First and Third Shift Second Shift Second and Third Shift Third Shift If necessary Not available AM only PM only What weekend hours are you available? First Shift First and Second Shift All Shifts First and Third Shift Second Shift Second and Third Shift Third Shift If necessary Not available AM only PM only How many hours are you willing to work in a week? Part Time (0 to 32 hours a week) Full Time (More than 32 hours 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? One Day 1 Week 2 Weeks 3+ Weeks More Than One Day Same Day Do you have reliable transportation? Always available Advanced notice needed Always available - will not car pool Always available - will car pool Public transportation How many miles are you willing to travel to a position? Education Name of School Type of school Community College High School Professional School Technical or Trade School University Other Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Degree Trade School Certification High School Diploma GED Attended College, No Degree College Coursework in Progress Associate Degree Bachelor’s Degree Bachelor of Arts Bachelor of Science Master’s Degree Masters of Arts Master of Business Administration Masters of Science Doctorate Degree Philosophiae Doctor Juris Doctorate MD Other Major Study Area Other Studies Name of School Type of school Community College High School Professional School Technical or Trade School University Other Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Degree Trade School Certification High School Diploma GED Attended College, No Degree College Coursework in Progress Associate Degree Bachelor’s Degree Bachelor of Arts Bachelor of Science Master’s Degree Masters of Arts Master of Business Administration Masters of Science Doctorate Degree Philosophiae Doctor Juris Doctorate MD Other Major Study Area Other Studies Recent Employment List most recent first Company Name Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Company Phone - Area code and phone number Supervisor Name Supervisor email address Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Leave blank if currently employed Start Wage Hourly rate or annual salary End Wage Hourly rate or annual salary Reason For Leaving Accepted work elsewhere - no information available Currently Employed To look for other employment Lost means of transportation Personal or family reasons To attend school Change in residence Military Service Dissatisfaction - work hours Dissatisfaction - salary Dissatisfaction - working conditions Dissatisfaction - performance review Dissatisfaction - supervisor Dissatisfaction - company policy Dissatisfaction - other Employee retirement Other - Voluntary Insubordination/Disobedient Violation of company rules or policies Violation of safety rules Willful destruction of company/customer property Careless destruction of company/customer property Fighting on company/customer property Leaving work station without authorization Laid Off/Staff Cuts Did you give a notice? Yes No If yes, how long? Did you work through your notice? Yes No Your name when employed, if different than present name: May we contact this employer for a reference check? Yes No Company Name Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Company Phone - Area code and phone number Supervisor Name Supervisor email address Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Start Wage Hourly rate or annual salary End Wage Hourly rate or annual salary Reason For Leaving Accepted work elsewhere - no information available Currently Employed To look for other employment Lost means of transportation Personal or family reasons To attend school Change in residence Military Service Dissatisfaction - work hours Dissatisfaction - salary Dissatisfaction - working conditions Dissatisfaction - performance review Dissatisfaction - supervisor Dissatisfaction - company policy Dissatisfaction - other Employee retirement Other - Voluntary Insubordination/Disobedient Violation of company rules or policies Violation of safety rules Willful destruction of company/customer property Careless destruction of company/customer property Fighting on company/customer property Leaving work station without authorization Laid Off/Staff Cuts Did you give a notice? Yes No If yes, how long? Did you work through your notice? Yes No Your name when employed, if different than present name: May we contact this employer for a reference check? Yes No Company Name Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Company Phone - Area code and phone number Supervisor Name Supervisor email address Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Start Wage Hourly rate or annual salary End Wage Hourly rate or annual salary Reason For Leaving Accepted work elsewhere - no information available Currently Employed To look for other employment Lost means of transportation Personal or family reasons To attend school Change in residence Military Service Dissatisfaction - work hours Dissatisfaction - salary Dissatisfaction - working conditions Dissatisfaction - performance review Dissatisfaction - supervisor Dissatisfaction - company policy Dissatisfaction - other Employee retirement Other - Voluntary Insubordination/Disobedient Violation of company rules or policies Violation of safety rules Willful destruction of company/customer property Careless destruction of company/customer property Fighting on company/customer property Leaving work station without authorization Laid Off/Staff Cuts Did you give a notice? Yes No If yes, how long? Did you work through your notice? Yes No Your name when employed, if different than present name: May we contact this employer for a reference check? Yes No I hereby certify that the information I have provided in this employment application is true and correct to the best of my knowledge, and that I have not withheld...