Advance assures equal employment opportunity to applicants and employees
in all aspects of personnel administration without regard to political affiliation,
race, color, national origin, sex, age, marital status, mental or physical disability,
religion, or any other prohibited basis of discrimination, as provided under applicable
local, state and federal law.
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APPLICANT INFORMATION
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Nearest Advance Location
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Applicant's Name (Last, First, Middle Initial)
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Street Address
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Have you ever been employed by Advance?
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If Yes, give dates and location:
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Are you legally able to work in the United States?
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If hired, you will be required to submit documents sufficient to establish employment
authorization and identity in compliance with the Immigration Reform and Control
Act of 1986. While you need not provide this proof of citizenship or immigration
status at the time you are interviewed, please be prepared to assure us that you
can do so immediately upon being hired.
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Do you have reliable transportation?
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Have you ever worked for another staffing company?
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Are you currently Employed?
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If you are under 18 years of age and it is required, can you furnish a work permit?
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Type of Work Wanted:
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Minimum hours of work you require each week
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If hired, are you able to work more than a forty hour week? |
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Have you had training/course work or experience in (please check those that apply):
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Please list any other types of equipment you can operate, education, or skills or
specialized experience you possess which you feel would be an asset. Exclude names
or terms that indicate, for example, race, color, religion, sex, disability, or
national origin:
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EMPLOYMENT SOUGHT
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Minimum hourly wage you require
$
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Areas / Towns in which you are willing to work
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Number of minutes you are willing to travel (one way) to assignment
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Can you travel if the job requires it?
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If Yes - What percentage can you travel
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Other assignments which you would consider
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Are you applying for employment in order to receive a particular assignment
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Describe particular assignment desired
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Will you require any accommodations in order to perform the essential functions
of the desired assignment?
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If yes, describe accommodations you will require
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Would you consider any other assignments
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Explain
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EMPLOYMENT RECORD
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List below the positions you have held, starting with your present employment.
If more than one position or classification has been held with a given organization,
list each position or classification as a separate period of employment. Under
"Specific Duties," describe clearly the tasks you performed and the nature of your
supervisory, technical, or other responsibilities. Please be complete.
Your employment history may be verified by contacting previous employers unless
you request otherwise. Volunteer, military, or unpaid experience will be evaluated
in the same manner as paid employment and should be entered in the same manner. |
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Have you ever been convicted of a violation of law other than a minor traffic violation?
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Applicant's Statement
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These answers are true and complete to the best of my knowledge. I understand
that any omissions or false information in this application or during the interview
process will result in rejection of my application or termination of my employment
if I am hired, regardless of when discovered.
I also understand that any offer of employment may be conditioned upon a health
evaluation by a doctor selected by Advance to determine whether I
can perform the essential functions of the job assignment. In addition, I
understand a drug or alcohol test may be required, depending upon the client's policy.
I authorize Advance to make a thorough investigation of my past employment,
education, and job-related activities, and I release from all liability all persons,
companies, and corporations providing such information, either in writing or orally.
I also indemnify Advance against any liability that might result
from making such investigation. Additionally, I authorize Advance to supply my employment record, in its sole discretion, in whole or in part,
to any prospective employer, government agency, or other party with an interest
that Advance deems appropriate.
Do not "Agree" and Submit until you have read the above applicant statement.
Please Type your FULL Name (First and Last) Below
By typing AGREE below and submitting this form, I certify that I have read, fully
understand and accept all terms of the foregoing Applicant Statement.
Type AGREE into the box below if you agree to the terms of this contract:
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