Advanced Staffing, Inc.

Notice to Applicant: We are equal opportunity employer and do not discriminate on the basis of an applicant's or employee's
race, color, religion, sex, national origin, citizenship, age, physical or mental disability or any other characteristic.

To be considered for any positions, all questions must be answered.
Fields marked with an asterisk (*) are required.

First Name:
 *
Last Name:
 *
Mailing Address 1:
 *
Mailing Address 2:
City:
 *
State:
 *
ZIP:
 *
Physical Address 1(only if different):
 *
Physical Address 2(only if different):
City:
 *
State:
 *
ZIP:
 *
Home Phone:
 - - *
Cell Phone:
 - - *
Pager or Alternate Phone:
 - -
Emergency Contact:
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Emergency Number:
 - - *
Email Address:
 *
   
Available Date:
 
Software:
Software2:
Software3:
Software4:
Software5:
   
Skills:
  You may add up to 10 Skills
Skill 1:
 *
Skill 2:
 *
Skill 3:
 *
Skill 4:
Skill 5:
Skill 6:
Skill 7:
Skill 8:
Skill 9:
Skill 10:
   
Languages Spoken Fluently:
 
 
Languages Written Fluently:
 
 
   

Resume (Copy and Paste) :
   
Days Available:
 Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total Years Related Work Experience:
Minimum Rate:
 *
Please select as many of the options below that apply
Type of Position:
Temporary
Permanent
Temp-to-Perm
Part-time
Full-time
Open
Days
Evenings
Nights
Beaumont
Vidor
Orange
Mid-County
Lumberton-Silsbee
Out of Town
Are you willing to relocate?
Desired Location:
Employment History:
  You may add up to 3 previous employers
   
Company:
 *
Position:
 *
Title:
 *
Supervisor:
 *
Address 1:
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Address 2:
City:
 *
State:
 *
ZIP:
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Phone:
 - - *
From Date:
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To Date:
 *
Salary:
Hourly:
 *
Bonus:
Reason for Leaving:
   
Company:
Position:
Title:
Supervisor:
Address 1:
Address 2:
City:
State:
ZIP:
Phone:
 - -
From Date:
To Date:
Salary:
Hourly:
Bonus:
Reason for Leaving:
   
Company:
Position:
Title:
Supervisor:
Address 1:
Address 2:
City:
State:
ZIP:
Phone:
 - -
From Date:
To Date:
Salary:
Hourly:
Bonus:
Reason for Leaving:
Education History:
  You may add up to 4 previous schools
   
Primary Education
High School Name:
 *
City:
 *
State:
 *
Graduated:
 *
GED:
   
Higher Education, Technology Training or additional Education
School Name:
City:
State:
Graduated:
Degree:
Major:
   
School Name:
City:
State:
Graduated:
Degree:
Major:
   
School Name:
City:
State:
Graduated:
Degree:
Major:

Additional Questions: (These must be answered to complete application)

1. Have you ever worked for Advanced Staffing, Inc.? *
Date:
Reason for Leaving:

2. Have you ever been convicted of a felony? *
Date:
Charge:

3. Do you have Transportation to and from job sites? *

4. Are you able to pass a Drug Screen? *

By submitting this Application, I hereby certify that the information contained in this application form and any and all attachments
is true and correct to the best of my knowledge and agree to have any statement checked by Advanced Staffing, Inc. I understand
that an misrepresentation by myself will cause cancellation of my application.

Thank you for your interest in employment with Advanced Staffing. Please click the button below to submit your application.