HIGH DESERT STAFFING
EMPLOYMENT APPLICATION
| Personal Information |
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| Nick Name |
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| First, Mid, Last Name |
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| Street Address |
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| City, State, Zip Code |
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| Email address |
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| Home Phone |
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| Alt Phone 1 / Type |
x |
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| Alt Phone 2 / Type |
x |
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| Alt Phone 3 / Type |
x |
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| Emergency Contact: |
Ph.
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Name
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| How did you hear of High Desert Staffing? |
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| (Check all that apply) |
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| Abq Journal |
Bar Bulletin |
Bing | Facebook |
| Google |
Job Fair |
Jobing.com |
Yahoo |
| Yellow Pages |
Referral |
Other |
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Additional Comments (Referral Name, Other, etc.)
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| Availability |
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| (Check all that apply) |
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| Permanent |
Temporary |
Full-Time |
Part-Time |
| Days |
Evenings |
Weekends |
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Availability Comments (School Schedule, etc.)
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| Transportation |
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| Personal Auto |
Bus |
Share Ride |
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| Job Requirements |
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| Position(s) desired: |
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| Desired Salary: |
Minimum $ /hr |
Desired $ /hr |
Annual $ /yr |
| Desired Locations: |
Albuquerque |
Rio Rancho |
Santa Fe |
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| Education |
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High School City, State Degree
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| College City, State |
| Date Last Attended Major |
Degree
Other
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| College City, State |
| Date Last Attended Major |
Degree Other
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| Employment History |
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| Dates to Position |
| Company |
| Address |
| Supervisor |
Phone x |
| May we contact?
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Salary, starting ending |
| Job Description |
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| Reason Left |
| Dates to Position |
| Company |
| Address |
| Supervisor |
Phone x |
| May we contact? |
Salary, starting ending |
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Job Description |
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| Reason Left |
| Dates to Position |
| Company |
| Address |
| Supervisor |
Phone x |
| May we contact? |
Salary, starting ending |
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Job Description |
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| Reason Left |
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| Other |
| Do you have a legal right to work in the U.S.
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| Have you ever pled guilty or nolo contende (no contest) to, or been convicted of a crime (other than a minor traffic violation)
If yes describe in full, including date(s). (Conviction or guilty plea is not necessarily a bar to employment.) |
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