P&S Staffing Application

P&S Staffing Job Application

Please complete the form below to apply for a position with us.
Today's Date

MonthDayYear
Personal Information
Full Name

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applying for Position
Email
Phone Number

Area CodePhone Number
Are you at least 18 years old?
I am legally eligible for employment in the U.S.?
Are willing to submit a criminal background check?

Other
Are you willing to submit a drug test?
Do you have reliable transportation?
Emergency Contact

First NameLast Name
Phone Number

Area CodePhone Number
Work History
Job 1
Company
City & State
Supervisor

First NameLast Name
Phone Number

Area CodePhone Number
May we contact this company?
Position Held
Job Descriptiom/ Duties
Start Date

MonthDayYear
End Date

MonthDayYear
Are you currently employed with this company?
Reason For Leaving
Job 2
Company
City & State
Supervisor

First NameLast Name
Phone Number

Area CodePhone Number
May we contact this company?
Position Held
Job Description/ Duties
Start Date

MonthDayYear
End Date

MonthDayYear
Are you currently employed with this company?
Reason For Leaving
Job 3
Company
City & State
Supervisor

First NameLast Name
Phone Number

Area CodePhone Number
May we contact this employer?
Position Held
Job Description/ Duties
Are you currently employed with this company?
Start Date

MonthDayYear
End Date

MonthDayYear
Reason For Leaving
Please provide three(3) professional references.
Reference 1

First NameLast Name
Phone Number

Area CodePhone Number
Reference 2

First NameLast Name
Phone Number

Area CodePhone Number
Reference 3

First NameLast Name
Phone Number

Area CodePhone Number
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P&S Staffing Job Application

Personal Information

Work History