- Step 1 of 2First Name *Last Name *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome Phone *Cell Phone *Email Address *Emergency Tel #: *Emergency Name *Date of Birth *Martial Status *SingleMarriedSeparatedParental Status: *Not ParentParent # of KidsDriver License *Do you have a Social Security? *Yes NoWhat are your long term goals 3- 5 years? *What are some of your short term goals? *Are you applying for part time, or full time employment? *Part TimeFull TimeBothHow much money do you want to earn per hour? *What motivates you? Example: Money, Creativity, Team player, Etc. *What are some of your weakness? *What are some your strengths? *What is your passion in life, or what are your hobbies? *How will you rate yourself on your organization skills from 1-Poor 10-Excellent *Do you consider yourself to be dependable? *Do you consider yourself to be Loyal? *NextWhat ability do you have that makes you candidate for this position? *How would you rate your positive mental attitude around working with others? 1-poor 10-excellent *Have you ever gone the extra mile and performing more than you paid for? *NoYesExplainWhen things become difficult do you apply faith in to the situation or do you change directions? *Apply faithChange directionsWhat are some of your priorities in your life? *Do you work well under pressure? *YesNoDo you consider yourself to be creative? *YssNoWhat is your educational back ground? *What is the longest time you stayed on a job? *What is the shortest time that you stayed on a job? *Explain reason for leaving? *Who was your best supervisor and what do you remember about Him/her? *Who was your worst supervisor and what do you remember about him/her? *Do you work best alone or with a team? *AloneTeamHave you ever been convicted of crime? *NoYesExplain: *Do you consider yourself to be honest? *YesNoHave you ever taken anything from your employment without your employer’s knowledge? *NoYesExplain *Do you prefer working on one project at the time or are you a multi task personality? *Single ProjectMulti TaskDo you have a vehicle? *NoYesType *How would you rate yourself in following directions? 1-Poor 10 Excellent *Do you consider yourself to be a leader or a follower? *LeaderFollowerWhen you are not clear as how to go about doing a task, do you ask questions or do you try to do it on your own? *Ask for guidanceDo it on my ownCan you travel around the USA? *YesNoCan you travel out of country? *YesNoCaptcha *BackEmailSubmit
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