Application – Way To Go Staffing

Name of School *
City & State *
Grade/Degree *
Graduated? *
YesNo
Do you have any experience, training, qualifications or special skills? (If so, label under "Special") *
YesNo
Special:

Name and Address of Employer *
Type of Business *
Phone
Your Position & Duties *
Date of Employment (from/to): *
Reason for Leaving *
Still Employed: *
YesNo
Name and Address of Employer
Type of Business
Phone
Your Position & Duties
Date of Employment (from/to):
Reason for Leaving
Still Employed:
YesNo
Name and Address of Employer
Type of Business
Phone
Your Position & Duties
Date of Employment (from/to):
Reason for Leaving
Still Employed:
YesNo
Have you ever been fired from a previous place of employment? If yes, please explain:

*
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material facts on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.(Checked box indicates acknowledgement)
Applicant Digital Signature (Type Name): *
Date
Please attach your resume here, if you do not attach it, please bring a hard copy of your resume to the in-person interview.
Please Attach a Headshot Below *
*
By signing the document below and clicking the "Submit" button, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this agreement.(Checked box indicates acknowledgement)