JOB DISCIPLINES - Empire Staffing Inc

Below is a listing of job disciplines. Fill out the Job application below.

Assemblers
Hotel Maintenance
General Laborers
Groundskeepers
Food Service
Drivers/CDL/Non-CDL
Quality Control

- Office Administrators
- Housekeeping
- Picker/Packers
- Forklift/Operator
- Scallop Processing
- Stitching Operators (all types)
- Agriculture Field Workers

- - Shipping Receiving
  - Fish Processing
  - Inspector
  - Pressers
  - Loader/Unloader
  - Machine Operator
  - Machinist
  - Mechanical Assembler

Job Application

Full Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email
If necessary for the job I am able to:
Work (which shifts)?
Are you able to work overtime?
Education*
High School Yrs College/University Yrs Trade/Other Yrs
Please list school name, years completed.
How many years did you complete in either education level?*
Tell us how many years did you complete in school, college or trade and or did you graduate.
How did you hear about us?*
Please choose from the following
Can you travel to assignments located throughout the state on a daily basis?
- Yes
- No
Available to work*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Please indicate the days you are able to work.
Type of Employment you prefer:*
Please choose from the following
What is the minimum hourly rate desired?
When can you start?
Employer information*
Current Employer Name Telephone Position Title/Duties Skills Dates

List current or past employer. Click the + button to add previous employer information
Employment status*
Current Employer Supervisors Name Telephone Number Reason for leaving

Please provide information on the current employer. And reasons for leaving i.e. quit terminated or other
Industry you are applying for:*
Please choose from the following
Complete if you have worked with Agencies in the past.
Agency Company Assigned Date start | finish

Please list any agencies you have worked with along with companies they assiged you to.
Please list any professional licenses, certifications or registrations that you may have below. Also include any other skill, addition languages or information you would like us to know.
List skills like Word, Excel, Powerpoint, Photoshop, and Illustrator. Typing, Filing, or Receptionist.
Upload Resume (if you have one)
Drop files here or

Max. file size: 64 MB.
Emergency Contact Name/Phone Number*

Information to the applicant: As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.
Signature- Please sign. (type in your name)*

If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the US, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. By typing in your name you are authorizing and acknowledging Empire Staffing to review the information provided in this form.

Current Employer Name	Telephone	Position Title/Duties Skills	Dates

Current Employer	Supervisors Name	Telephone Number	Reason for leaving

Agency	Company Assigned	Date start \| finish