Anniston Employment Application
Personal Data Completed          Date:
                    Last                                            First                                         Middle

Name:     

 

Social Security #

Present Address: 

   

Primary Phone: 

Other Phone:    


County of Residence:  		 


Are you 18 years old or older?  Yes  No

Minimum Acceptable Hourly Rate:  $          Date Available for Work: 

Position Preferred:      Shift Preferred:   

If Hired, can you provide written proof that you are authorized to work in the U.S.?    Yes  No

How did you hear of Dynamic Staffing?

Have you ever worked for a Staffing Company before?  Yes  No


 
Transportation

Do you have reliable transportation?  Yes  No

Driver's Lic. #

Issuing State

If No, how do you plan on traveling to & from work? 

 
Education and Training
 
           Graduated?  Yes  No   Courses Studied?
 
           Graduated?  Yes  No   Courses Studied?
 
           Graduated?  Yes  No   Courses Studied?

Do you speak any foreign languages? If yes, please describe:

 

An Equal Opportunity Employer
 

Employment History:
Dates Employed     Position Held Name\Address of Company          Supervisor Wage/Salary Reason for Leaving
From:

To :       

         

Starting:

Final:

 
Dates Employed     Position Held Name\Address of Company          Supervisor Position & Wage Reason for Leaving
From:

To :       

         

Starting:

Final:

 
From:

To :      

         

Starting:

Final:

 

Miscellaneous:
Have you ever been convicted of any crime other than a minor traffic offense?  (Conviction of a crime does not necessarily bar employment)
     If Yes, explain: 
 
Please describe your skills and work history related to:

General Labor
(Auto Repair, Blueprint reading, Cashier, Food Handling, Janitorial, Landscaping, Material Handling, Packing, Retail, Yard Work, Warehouse)

Skilled Trade
(Carpentry, Electrical, HVAC, Machine Maint., Machine Repair, Welder, Machinist, Cutter, Paining, Plumbing, Sheet Metal)

Machine Operation
(Drilling, Extrusion, Foam, Footpress, Injection Molding, Lathe, Milling, Plating, Punch Press, Woodcutting, Forklift)

Clerical
(Typing, MS Office {Excel, Word, Access, Powerpoint}, Onedrive, Collating, Filing, Inventory, Mailroom, Proofreading, Telephone)

Bookkeeping
(Acct. Payable, Acct. Receivable, Bank Recon, Collections, Credit, General Ledger, Payroll, Trial Balance)

Assembly
(Electrical, Mechanical, Packing, P.C. Board, Soldering, Wire Harness)

Driving
(Delivery, Tractor/Trailer, CDL, Grading Equipment)

Miscellaneous
(Human Resources, Bank Teller, Cashier, Customer Service, Insurance, Librarian, Telephone Sales)

 

In Case of Emergency, please notify:
Name  Address Phone
 
It is agreed and understood that the answers to the foregoing questions are true and correct, and that any misrepresentations of information given above shall be considered an act of dishonesty.  It is agreed and understood that the employer or his designee may investigate my background to ascertain any and all information of concern in my record, whether of record or not, I specifically release Dynamic and its employees and agents and all third parties from all liability for any damages on account of my furnishing such information.  I further agree to furnish such additional information and complete such examinations as may be required to complete my employment file.  It is agreed and understood that this application for employment in no way obligates Dynamic to employ me.  I also agree to take a physical examination, if required to do so, and also to demonstrate ability to perform all duties if requested.  ANY PERSON HIRED BY DYNAMIC IS AN EMPLOYEE AT WILL.  ACCORDINGLY, DYNAMIC OR THE EMPLOYEE MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME WITH OR WITHOUT CAUSE OR PRIOR NOTICE.  NO MODIFICATION OR EXCEPTION TO THIS POLICY WILL BE BINDING ON DYNAMIC UNLESS IT IS IN WRITING AND SIGNED BY THE PRESIDENT OF DYNAMIC.
 
 

Signature of Applicant (Electronic) 

Signature of Applicant (In Office)  __________________________________________

 Date