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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?
Yes No
 
First Name (Required)
Middle Name
Last Name (Required)
Nickname / Preferred Name
Street Address / Apartment  
City
State / ZIP Code     
Home Phone (Required) - Area code and phone number
Other Phone - Area code and phone number
Cell 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 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?
     

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
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
Why did you leave?
May we contact this employer for a reference check?
Yes No
Company Name
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
Why did you leave?
May we contact this employer for a reference check?
Yes No
Company Name
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
Why did you leave?
May we contact this employer for a reference check?
Yes No
 

Criminal Background & Drug Screen

 
Have you ever been convicted of a crime, other than a minor traffic violation? If yes, please explain:  
Yes No
Can you pass a drug test today?   Yes No
 

Skills (check as many as apply)

 
Accounting
Accounting Accounts Payable/Receivable Payroll
Bookkeeper Collections Purchasing
Controller/CFO
 
Office - Clerical - Administrative
Administrative Asst. Receptionist - Front Desk Data Entry
Microsoft Word Microsoft Excel Executive Admin. Asst.
 
Legal, Professional and Sales
Legal Secretary Paralegal Banking
Insurance Human Resources Sales
 
Meidcal
Medical Office LPN Phlebotomist
Dental Hygienist Medical Lab Technician Medical Records
Medical Billing or Coder
 
Technical and Other
Computer networking Computer support Writer, publisher, editor
Graphic Design Speak Korean Speak Spanish
 
Industrial
General Labor General Labor - under 25# General Labor - over 25#
Industrial Maintenance Pipe Fitter Industrial Printing Services
Mechanic Mechanic - Diesel Maintenance Building
Tradesman Helper Commercial Driving Forklift
Heavy Equipment Operator Delivery Truck - Less than 10,000 GVW Delivery Truck - More than 10,000 GVW
Tractor/Semi Trailor CDL Driver DOT Driver
 
Assembly
Assembly Electronic Assembly Blue Prints
Electrical Wiring Production Assembly Soldering
Quality Control Inspector/Tester
 
Packaging/Warehouse
Inventory Load/Unload Ship/Receive
Packaging/Warehouse Picking/Packing
 
Construction
Construction Electrician Painter
Interior/Exterior Building Industrial Spray Painter
 
Welding
Gas Metal Arc Mig Gas Tungsten Arc Tig Oxy Acetylene Gas
Welding Electric Arc Plastic
Spot Welder
 
Machine Operator
Machine Operator Blow-Molding Brake Press
Injected Metal Molding - Die Cast Injected Plastic Molding - Die Cast Punch Press/Stamping
Hand Tool Drill Press Drilling and Boring
Grinding Lathe Machinist
Milling Maching Millwright Sheet Metal Fabricator
Tool and Die Maker
 

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 by JobMarks, Inc. d/b/a Match Staffing (the “Employer”). 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. I hereby release such person or entities from all liability for damages for issuing such information.

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 my wages may be reduced to minimum wage should I not follow employment guidelines of the Employer. I understand the term of my employment shall be limited to the duration of any assignment that I accept. Notwithstanding the duration of an assignment, I acknowledge that my employment is at-will and that the Employer or I may terminate my employment at any time. 

I acknowledge that the Employer may perform an inquiry that will provide applicable information concerning my character, reputation, criminal background and my credit and financial history. Upon request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

I agree to resolve any dispute, claim, or controversy that may arise between me and the Employer regarding a failure to be hired or termination from employment exclusively in accordance in accordance with the Employer’s dispute resolution policy which includes mediation and arbitration of all such disputes.

I represent and warrant that I have fully read and completely understand the foregoing and seek employment under these specified conditions.

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