Name   Date of Birth

Current Address

City State   Zip Code

Home Phone Cell Phone   Email

Name of School

Area of Study/Degree      Did You Graduate?   Yes   No

Other Certifications/Training/Licenses:

EMPLOYMENT HISTORY

Company Address

Title From  To Salary $ Starting $ Next Review

Reason for Leaving Software Used

Supervisor & Title Phone Industry Reference? Yes No

 

Company Address

Title From  To Salary $ Starting $ Next Review

Reason for Leaving Software Used

Supervisor & Title Phone Industry Reference? Yes No

 

Company Address

Title From  To Salary $ Starting $ Next Review

Reason for Leaving Software Used

Supervisor & Title Phone Industry Reference? Yes No

 

DESIRED POSITION (CHECK ALL THAT APPLY)

Temporary     Temporary-to-Permanent     Permanent     Full-Time      Part-Time

     

Date of Availability    Hourly   Salary

Hourly $ Annually $

If you have employment gaps of 90 days or more in your work history, please explain why:

REFERENCES

                  Name                                                   Address                                                         Phone

All-Pro Placement completes criminal and credit background checks if requested by our clients, by signing (or typing your name) below you authorize All-Pro Placment to perform such checks and you agree that you have not withheld any information from us. I certify that the facts contained in this application and any resume that I submit with it are true and complete to the best of my knowledge. I understand that the withholding, misrepresentation or falsification of information in an interview shall be grounds to refuse employment, or, if employed, shall be grounds for dismissal. I further agree that completing this application is the same as making an application to the clients and prospective clients of All-Pro Placement Service, Inc. to whom I may be proposed for temporary assignments under joint employment and/or for direct hire placement.

I authorize All-Pro Placement Service, Inc. to seek temporary, temp-to-perm, and/or direct hire employment on my behalf and I allow All-Pro Placement Service, Inc. to submit my employment profile and information to any All-pro Placement Service, Inc. client or prospective client for such purpose.

I authorize All-Pro Placement Service, Inc. to secure any information regarding me in connection with this application for employment, and I hereby release any person, firm, or institution from all liability for any damage whatsoever for issuing such information.

I understand and agree that this application is for temporary employment at-will and/or for direct hire placement. Should I be hired by All-Pro Placement Service, Inc. as a temporary employee, All-Pro Placement’s clients shall have the right to terminate the employment relationship at any time without prior notice, for any lawful reason, with or without cause, regardless of the date of payment of my wages and salary, and regardless of interruption between jobs.

I further understand and agree that this application applies to all temporary jobs and/or direct hire positions that I accept through All-Pro Placement Service, Inc.

I understand that if I don’t contact All-Pro Placement at the completion of the assignment and request another assignment it can cause a delay or denial of unemployment benefits.

I have read this application in its entirety.