PrimeSkill Staffing Services

Este formulario también está disponible en español.

STATEMENT OF POLICY: Employment with Prime Skill Staffing Services is based on individual merit, and Qualification. Employment opportunities are provided without regard to race, color, sex, age, marital status or Veteran status.

APPLICANT INFORMATION

First Name* Home Phone* (include area code) Emergency Contact Position applying for* If required, do you have a California Driver's License?*Yes No What shifts are you available to work:*1st 2nd 3rd All Are you a citizen of the United States?*Yes No

If No, are you authorized to work in the United States?Yes No

Have you ever been convicted of a felony or misdemeanor?*Yes No Have you ever worked for Prime Skill Staffing Services?*Yes No If Yes, when?

Last Name* Cell Phone (include area code) Emergency Contact Phone (include area code) Desired Salary Driver's License Number Exp. Date

EDUCATION

High School Dates Attended From To Other Education Dates Attended From To

Address Did you graduate?Yes No Degree Address Did you graduate?Yes No Degree

PREVIOUS EMPLOYMENT

START WITH MOST RECENT EMPLOYMENT

Company Address Your position title and description Reason for leaving? May we contact you previous employer for a reference? Yes No

Phone (include area code) Supervisor Start Date/End Date Starting/Ending Salary

Company Address Your position title and description Reason for leaving? May we contact you previous employer for a reference? Yes No

Phone (include area code) Supervisor Start Date/End Date Starting/Ending Salary

In which area are you interested in working?

NOTICE TO ALL APPLICANTS
In compliance with the Americans with Disabilities Act of 1990. During the Interview process, you may be asked questions concerning your ability to perform job related functions. If you are given a conditional offer of employment, you may be required to complete a post-job offer medical history Questionnaire and/or undergo a medical examination. If required, all entering employees in the same job category will be subject to the same medical questionnaire and/or examination and all information will be kept Confidential and in separate files.

CERTIFICATION STATEMENT AND SIGNATURE
I certify that all of the information furnished on this application is true, complete and correct. I understand and agree that any falsification, misrepresentation, misleading statement, or omission of fact on either the application or during the pre-hire or post-hire process will be sufficient reason for (1) my not being offered employment; Or (2) dismissal at any time if I am employed.

EMPLOYMENT-AT-WILL
I agree that if I am employed by Prime Skill Staffing Services, now or at any time in the future, my employment may be terminated by Prime Skill Staffing Services 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 that my employment with Prime Skill Staffing Services is at-will and that my assignment and/or employment can be terminated for any reason with or without cause or Without notice.

RELEASE OF LIABILITIY FOR BACKGROUND INFORMATION
I hereby release all persons or entities listed on my application from all liability for damages for giving any background Information to Prime Skill Staffing Services or it’s authorized agents. This release also extends to persons or entities having information about me that is relevant to any position for which I am being considered. I also release Prime Skill Staffing Services from any liability for sharing such information with relevant parties including, but not limited to, branch offices, subsidiaries, or Prime Skill Staffing Services clients.

AVAILABILITY POLICY
Within 48 hours of completion of each temporary assignment for Prime Skill Staffing Services, I shall notify Prime Skill Staffing Services by telephone that I have completed my assignment. I understand that if I do not contact Prime Skill Staffing Services, Prime Skill Staffing Services will consider me unavailable for work and may place me unavailable for work and may place me on inactive status. I also understand that further assignments may not be offered unless I contact Prime Skill Staffing Services by telephone on a weekly basis and state that I am available and eligible for further assignments. In addition, if a claim for unemployment benefits is filed, the failure to contact Prime Skill Staffing Services may affect my benefit eligibility.

Attach your resume in Word format or PDF. Date

PrimeSkill Staffing Services - Ventura, Los Angeles and Kern Counties

APPLICANT INFORMATION

EDUCATION

PREVIOUS EMPLOYMENT