A pplicant Name: Click or tap here to enter text
Address: Click or tap here to enter text.
City, State and Zip Code: Click or tap here to enter text.
Telephone Number: Click or tap here to enter text.
Email Address: Click or tap here to enter text.
Date of Application : YY-MM-DD
Employment Position
Position(s) applying for: Click or tap here to enter text.
How did you hear about this position? Click or tap here to enter text.
What days are you available for work? Click or tap here to enter text.
What hours or shifts are you available for work? Click or tap here to enter text.
If needed, are you available to work overtime? Click or tap here to enter text.
On what date can you start working if you are hired? Click or tap here to enter text.
Do you have reliable transportation to and from work? Click or tap here to enter text.
Salary desired: Click or tap here to enter text.
Personal Information
Have you ever applied to or worked for Swiftly Recruiting and Staffing LLC before?
Yes No
If yes, when? Click or tap here to enter text.
Do you have any friends, relatives, or acquaintances working for Swiftly Recruiting and Staffing?
Yes No
If yes, state name & relationship: Click or tap here to enter text.
Are you 18 years of age or older?
Yes Yes No No
Are you a U.S. citizen or approved to work in the United States?
Yes No
What document can you provide as proof of citizenship or legal status?
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Will you consent to a mandatory controlled substance test?
Yes No
Do you have any condition which would require job accommodations?
Yes No
If yes, please describe accommodations required below.
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Have you ever been convicted of a criminal offense (felony or misdemeanor )?
Yes No
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
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(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying:
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(Note: Swiftly Recruiting and Staffing complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)
Education and Training
High School
Name Click or tap here to enter text.
Location (City, State) Click or tap here to enter text.
Year Graduated Click or tap here to enter text.
Degree Earned Yes No
College/University
Name Click or tap here to enter text.
Location (City, State) Click or tap here to enter text.
Year Graduated Click or tap here to enter text.
Degree Earned Yes No
Vocational School/Specialized Training
Name Click or tap here to enter text.
Location (City, State) Click or tap here to enter text.
Year Graduated Click or tap here to enter text.
Degree Earned Yes No
Military:
Are you a member of the Armed Services? Click or tap here to enter text.
What branch of the military did you enlist? Click or tap here to enter text.
What was your military rank when discharged? Click or tap here to enter text.
How many years did you serve in the military? Click or tap here to enter text.
What military skills do you possess that would be an asset for this position? Click or tap here to enter text.
Previous Employment
Employer Name: Click or tap here to enter text.
Job Title: Click or tap here to enter text.
Supervisor Name: Click or tap here to enter text.
Employer Address: Click or tap here to enter text.
City, State and Zip Code: Click or tap here to enter text.
Employer Telephone: Click or tap here to enter text.
Dates Employed: Click or tap here to enter text.
Reason for leaving: Click or tap here to enter text.
Employer Name: Click or tap here to enter text.
Job Title: Click or tap here to enter text.
Supervisor Name: Click or tap here to enter text.
Employer Address: Click or tap here to enter text.
City, State and Zip Code: Click or tap here to enter text.
Employer Telephone: Click or tap here to enter text.
Dates Employed: Click or tap here to enter text.
Reason for leaving: Click or tap here to enter text.
Employer Name: Click or tap here to enter text.
Job Title: Click or tap here to enter text.
Supervisor Name: Click or tap here to enter text.
Employer Address: Click or tap here to enter text.
City, State and Zip Code: Click or tap here to enter text.
Employer Telephone: Click or tap here to enter text.
Dates Employed: Click or tap here to enter text.
Reason for leaving: Click or tap here to enter text.
References
Please provide 2 personal and professional reference(s) below:
1. Reference Click or tap here to enter text.
Contact Information Click or tap here to enter text.
2. Reference Click or tap here to enter text.
Contact Information Click or tap here to enter text.
AT-WILL EMPLOYMENT
The relationship between you and the Swiftly Recruiting and Staffing LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Swiftly Recruiting and Staffing. No representative of Swiftly Recruiting and Staffing has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice President/Chief Operations Officer or the Company's President.
Applicant Signature: Click or tap here to enter text.
Dated: Click or tap here to enter text.
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