WORKSMART EMPLOYMENT APPLICATION

Work Smart Staffing
Thank you for taking the time to complete our online employment application. Please fill out the application below as completely as possible. This application will take approximately 15 minutes to complete. Allow at least 1 hour for the application to reach our database before contacting to schedule an interview.
We look forward to receiving your application!

Personal Information

Are you at least 18 years of age and do you have the legal right to work in the United States?
Yes No
 
First Name (Required)
Middle Name
Last Name (Required)
Preferred Name
Street Address / Apartment  
City
State / ZIP Code     
Primary Phone (Required) - Area code and phone number
Secondary Phone - Area code and phone number
Email Address
Date of Birth
Resume - If you have a resume, copy from word and paste it into the box below.

 

Availability

When are you available to start?     
What weekday hours are you available?
What weekend hours are you available?
Are you willing to work overtime?
Yes No
What is the minimum pay you desire? Hourly rate or annual salary
How much notice will you need if a position is offered to you?
How much weight can you continuously lift?

Education

Enter most recent - Do not enter start and end date if the most recent is high school

Name of School
Type of school  
State / ZIP Code   
Start Date (Month / Year)   
End Date (Month / Year)   
Degree  
Major Study Area

Name of School
Type of school  
State / ZIP Code   
Start Date (Month / Year)   
End Date (Month / Year)   
Degree  
Major Study Area

Employment History

List most recent first

Company Name
State / ZIP Code   
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary

Company Name
State / ZIP Code   
Job Title  
Job Duties  
Start Date (Month / Year)     
End Date (Month / Year)   
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary

Company Name
State / ZIP Code   
Job Title  
Job Duties  
Start Date (Month / Year)     
End Date (Month / Year)   
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary

 

Criminal Background & Drug Screening

  Have you been convicted of a crime in the last 7 years, other than a minor traffic violation? If yes, please explain:   Yes No

Are you willing to take a drug screening test?   Yes No  

Work Skills

Machine Operating CNC Machine Forklift - Sit
Forklift - Stand Inspecting Sewing/ Embroidery
Woodworking- Cabinet Maker Picking/Packing Material Handling
Assembly Injection Mold Clerical/ Admin


I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person or entities from all liability for damages for issuing such information.

When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested.

I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time without liability to me for wages or salary except for such wages or salary which I earned prior to the date of my termination. I understand the term of my employment shall be limited to the duration of any assignment 
that I accept.

I am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the employer to inform me that a routine inquiry may be made that will provide applicable information concerning my character, my general reputation, my personal characteristics and my credit history. Upon written request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

I understand that I am applying for temporary or contract assignments. The completion of the this application process shall constitute a conditional offer of employment subject to my availability and the availability of customer assignments calling for the skill and qualifications that I possess, and I agree to consider acceptance of such assignments.

Please take a moment to review your application.  Indicate that you have read the above statement by entering your initials in the box below.  To complete this application, click on the Submit Application button.
Initials:    


This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.