MSS Staffing
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An Equal Opportunity Employer
We do not discriminate on the basis of race, color, religion, national origin, sex, age, or disability. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.
Each question should be fully and accurately answered. No action can be taken on this application untill all questions have been answered. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information
Job applied for
Administrative Positions
9/5/2010 2:31:20 AM
Salary requirements Available for shift? Date can start
$ 1st 2nd 3rd compressed weekends
Last First Middle Telephone number
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Present street address City State Zip code
Are you 18 years of age or older? ----------------------------------------------------
(if you are hired you may be required to submit proof of age)
Social Security Number - -
If hired, can you furnish proof you are eligible to work in the U.S.? Yes No
Have you ever been convicted of any law violation (except a minor traffic violation)?
If yes, give details
(A "Yes" answer does not automatically disqualify you from employment, since the nature of the offense, date, and the job for which you are applying will also be considered.)
List professional, trade, business or civic activities and offices held. (Exclude labor organizations and memberships, which reveal race, color, religion, national origin, sex, age, disability or other protected status.)
List Name & Address of Schools
Number of years Completed :
Diploma/Degree Certificate :
Subjects Studied
High School or GED:
College or University:
Vocational or Technical:
What skills or additional training do you have that are related to the job for which you are applying?
What machines or equipment can you operate that are related to the job for which you are applying?
Work History
List names of Employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name & business references.
May we contact previous employers? Yes No
Employer 1
Name of Employer
Address
City
State
ZipCode
Telephone - -
Job Title & Duties
Date Employed
From:
To:
Pay
Start$
End$
Supervisor
Reason for Leaving
Employer 2
Name of Employer
Address
City
State
ZipCode
Telephone - -
Job Title & Duties
Date Employed
From:
To:
Pay
Start$
End$
Supervisor
Reason for Leaving
Employer 3
Name of Employer
Address
City
State
ZipCode
Telephone - -
Job Title & Duties
Date Employed
From:
To:
Pay
Start$
End$
Supervisor
Reason for Leaving
Have you worked under any other name?
If yes, give names:
Are you presently employed? Yes No   If yes, may we contact your present employer? Yes No
References
Give three (3) references, not relatives or former employers.
Name: Address Phone
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Email address if any:
How did you hear of us?:
PLEASE READ EACH STATEMENT CAREFULLY BEFORE CLICKING I AGREE
I certify that all information provided in this employment application is true and complete. I understand that any false or omission of information may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I authorize and agree to cooperate in a thorough investigationof all statements made herein and other matters relating to my background and qualifications. I understand that any investigation conducted may include a request for employment and educational history, credit reports, consumer reports, ivestigative consumer reports, driving record, and criminal history. I autorize any person, school, current and former employer, consumer reporting agency, and any other organization or agency to provide information relevant to sucha investigation and hereby release all persons and corporations requesting or supplying information pursuant to such investigation fromm all liabilty or responsibilty to me for doing so. I understand that I have the right to make a written request within areasonable period of time for complete disclosure of the nature and scope of any investigation. I further autorize any physician to release any information which may be necessary to determine my abilty to perform the job of which I am being considered or any future job in the event that I am hired.
I understand that compliance with the Company's Corporate Code of Conduct is a condition of my employment.
I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT OR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN EMPLOYED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.
I have read, understand, and by clicking I agree consent to these statements
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