entake.temptime.comentaketemptimecom - Employment Application

Thank you for applying for work through our staffing agency. The more completely you fill out this application, the better we will be able to assist you in your job search. Once you click the SUBMIT button, you will not be able to go back and make changes. Personal Information Are you at least 18 years of age and do you have the legal right to work in the United States? (Required) Yes No First Name (Required) Middle Name Last Name (Required) Nickname / Preferred Name Street Address / Apartment City State / ZIP Code MMMMMMMMMMMMMMMMMM Home Phone - Area code and phone number Cell Phone - Area code and phone number Other Phone - Area code and phone number Email Address Cover Letter and Resume - Copy and Paste your cover letter and resume here (Required) Availability Are you willing to work temporary? Yes No Are you looking for a full-time career position? Yes No Are you open to temp-to-hire positions? Yes No When are you available to start? MMMMMMMMM 00 0000 What weekday hours are you available? All Shifts AM only PM only What weekend hours are you available? All Shifts AM only PM only How many hours are you willing to work in a week? Part Time (0 to 20 hours a week) Full Time (40 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 How many miles are you willing to travel to a position? How did you find out about us? (i.e. yelp, citysearch, google search) Mark Estrella -- Education List most recent First - Name of School Type of school Community College High School Professional School Technical or Trade School University Other City State / ZIP Code MMMMMMMMMMMMMMMMMM 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 How Many Years of Undergraduate School? How Many Years of Graduate School? Name of School Type of school Community College High School Professional School Technical or Trade School University Other City State / ZIP Code MMMMMMMMMMMMMMMMMM 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 How Many Years of Undergraduate School? How Many Years of Graduate School? Recent Employment List most recent first Company Name Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Supervisor Name Supervisor Title Supervisor Phone Number - Area code and phone number Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Type of Business How did you get the job? Reason for leaving? Returned to School (Make Selection) Temp Assignment Ended Finished School/Program or Graduation To look for other employment Lost means of transportation Personal or family reasons To attend school Change in residence Dissatisfaction - work hours Dissatisfaction - salary Dissatisfaction - working conditions Dissatisfaction - supervisor Dissatisfaction - company policy Dissatisfaction - other Disability or Illness - not job related Other - Voluntary Laid Off/Staff Cuts Comment: May we contact this employer for a reference check? Yes No Company Name Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Supervisor Name Supervisor Title Supervisor Phone Number - Area code and phone number Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Type of Business How did you get the job? Reason for leaving? Returned to School (Make Selection) Temp Assignment Ended Finished School/Program or Graduation To look for other employment Lost means of transportation Personal or family reasons To attend school Change in residence Dissatisfaction - work hours Dissatisfaction - salary Dissatisfaction - working conditions Dissatisfaction - supervisor Dissatisfaction - company policy Dissatisfaction - other Disability or Illness - not job related Other - Voluntary Laid Off/Staff Cuts Comment: May we contact this employer for a reference check? Yes No Company Name Street Address City State / ZIP Code MMMMMMMMMMMMMMMMMM Supervisor Name Supervisor Title Supervisor Phone Number - Area code and phone number Job Title Job Duties Start Date (Month / Year) MMMMMMMMM 0000 End Date (Month / Year) MMMMMMMMM 0000 Type of Business How did you get the job? Reason for leaving? Returned to School (Make Selection) Temp Assignment Ended Finished School/Program or Graduation To look for other employment Lost means of transportation Personal or family reasons To attend school Change in residence Dissatisfaction - work hours Dissatisfaction - salary Dissatisfaction - working conditions Dissatisfaction - supervisor Dissatisfaction - company policy Dissatisfaction - other Disability or Illness - not job related Other - Voluntary Laid Off/Staff Cuts Comment: May we contact this employer for a reference check? Yes No Skills (at least 6 months on the job or taken a course) Payables Receivables Payroll 10 Key Word Processing Bookkeeping Data Entry Busy Phones Filing Mailroom Telemarketing Word Excel Outlook Dreamweaver Photoshop Quickbooks Quicken Filemaker Pro Other Skills Foreign Languages Interests What are your strengths? What are your weaknesses? What industries are you interested in? Emergency Contact < Name and Phone Address I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I hereby authorize Monroe Personnel Service, LLC and Temptime to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment and further authorize the references I have listed to disclose to Monroe Personnel Service, LLC and Temptime any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Monroe Personnel Service, LLC and Temptime, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I hereby agree that any and all disputes arising from or related to my application with Monroe Personnel Service, LLC and Temptime, or the employment relationship between me and Monroe Personnel Service, LLC and Temptime, shall be submitted to binding arbitration for determination. This arbitration provision applies, without limitation, to claims of wrongful termination, breach of contract, discrimination, or harassment. This arbitration requirement is mutual and requires myself and Monroe Personnel Service, LLC and Temptime to use arbitration as the exclusive forum for resolution of disputes or claims of any kind. This arbitration provision does not limit or alter the legal remedies potentially available to Monroe Personnel Service, LLC and Temptime or the employee. The parties agree that said arbitration will be conducted pursuant ...