Paradise Staffing Employment Application
Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or in the presence of a non-related medical condition or disability.
Social Security #______
Name______Date______
Address______
City______State_____ Zip______
Phone #______Cell#______E-mail Address______
Emergency contact______
How did you hear about Paradise Staffing?
Position applied for?
Full time Part time Temporary Other
Employment Experience
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary.
Employer 1
Name:
Address: City: State: Zip:
Phone: Supervisors’ Name:
Job Title:
Reason for leaving:
Dates of Employment: From To Salary or Hourly wage:
Employer 2
Name:
Address: City: State: Zip:
Phone: Supervisors’ Name:
Job Title:
Reason for leaving:
Dates of Employment: From To Salary or Hourly wage:
Employer 3
Name:
Address: City: State: Zip:
Phone: Supervisors’ Name:
Job Title:
Reason for leaving:
Dates of Employment: From To Salary or Hourly wage:
May we contact your current employer? Yes No
References
Name:
Phone:
Address: City: State: Zip:
Name:
Phone:
Address: City: State: Zip:
Name:
Phone:
Address: City: State: Zip:
Education
Schools/Colleges Attended, # Years, Year Graduated, Degree Received
School Name: , Number of Years:
Year Graduated: Degree Received:
School Name: , Number of Years:
Year Graduated: Degree Received:
School Name: , Number of Years:
Year Graduated: Degree Received:
Have you ever been charged and/or convicted of a crime? Yes No
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed.
Please read the application carefully before signing. I CERTIFY that the answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I grant permission to Paradise Staffing to check my references I authorize my references to provide any information to Paradise Staffing that it deems appropriate. I agree that my employment can be terminated with or without notice, for any reason, at any time, at the option of either Paradise Staffing or myself, while performing duties as a temporary associate. I agree for a period of 6 months after termination of my assignment as a temporary associate of Paradise Staffing, I will not provide my services to any Company clients where I am placed for assignment either directly as an employee or consultant, or indirectly as an employee as an employee of another temporary or outsourcing service. I also agree I will not transfer to another agency’s payroll while on an assignment through Paradise Staffing until 6 months have lapsed since an ending to the assignment. I agree that I will not accept employment with a client to whom I have been referred by Paradise Staffing without first obtaining, written authorization from Paradise Staffing for a period of 6 months after the date of the referral. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given on my application or interview may result in termination.
Signature______
Date
Paradise Staffing, LLCPhone: 801-446-8832Fax: 801-878-3599