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.

ROSELLE - Data Entry

 ** Indicates a required field.

Personal Information

Are you at least 18 years of age? **

Yes No

Do you have the legal right to work in the United States? **

Yes No

Have you ever been convicted of a crime, other than a minor traffic violation? **

Yes No
 

First Name **

Middle Name

Last Name **

Street Address / Apartment **

 

City **

State / ZIP Code **

 

Home Phone **

xxx-xxx-xxxx (Area code and phone number)

Other Phone

xxx-xxx-xxxx (Area code and phone number)

Email Address

  

Resume

Cut & paste your TEXT ONLY resume here.
Your TEXT ONLY resume should not include any tabs, bullets, tables or other special formatting.

 

Availability

When are you available to start? **

Which shift will you be available for work? **

Are you willing to work overtime? **

Yes No

What is the minimum pay you desire? **

Hourly rate or annual salary

How much notice do you require to start work? **

How will you travel to and from a position in Roselle, IL? **

     

Education

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


Name of School **

Type of school **

Street Address

City **

 

State / ZIP Code

 

Start Date (Month / Year) **

End Date (Month / Year) **

Degree (Highest Level) **

Major Study Area

Other Studies

Recent Employment

List most recent first


Company Name **

Street Address

City **

State / ZIP Code

 

Supervisor Name **

Telephone **

  xxx-xxx-xxxx (Area code and phone number)

Your 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

May we contact this employer for a reference check? **

Yes No

Company Name

Street Address

City

State / ZIP Code

 

Supervisor Name

Telephone

  xxx-xxx-xxxx (Area code and phone number)

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

May we contact this employer for a reference check?

Yes No

Company Name

Street Address

City

State / ZIP Code

 

Supervisor Name

Telephone

  xxx-xxx-xxxx (Area code and phone number)

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

May we contact this employer for a reference check?

Yes No

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.

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.

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 **

  

EQUAL OPPORTUNITY EMPLOYMENT

Active Temporary Services does not discriminate in any of its employment policies or practices because of race, color, religion, sex, age, national origin, marital status, disability, or veteran's status. We also do not tolerate sexual or racial harassment at our Company, whether by another employee, supervisory personnel, or any other individuals.

  

[ Home ] [ Back to Top ]

 

2005 Active Temporary Services, Inc.

All rights reserved.