Email Application
Printable Application
APPLICATION
Primary Work Preference
Office
Industrial
Name: Last, First, Middle
Address: Street, Apt., City, State, Zip
U.S. Citizen
Legal Right to Work in U.S.
Social Security Number
Are you presently 18 years of age or older?
Yes
No
Home Phone
Other Phone
Referred By
Today's Date
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
In case of Emergency, Notify:
Special Emergency Instructions:
Would you be willing to take a drug test if it were a condition of employment?
Yes
No
Which type of transportation do you use?
Car Available
Public Transportation
Have you ever been convicted of a criminal offense other than a minor traffic violation?
Yes
No
If yes, give details:
Driver's License Number
State
Expires
Class
Check highest level of education
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Major course of study:
Name, city and state of highest level school attended:
Dates Attended:
Degrees Received:
Work History
List Current or most recent first
From
To
Employer
Address
Type Business
Position
Phone
Your Duties
Reason for Leaving
May we contact?
Yes
No
Your Supervisor's Name
Were you part-time or full-time?
Full-time
Part-time
What was your ending pay rate?
From
To
Employer
Address
Type Business
Position
Phone
Your Duties
Reason for Leaving
May we contact?
Yes
No
Your Supervisor's Name
Were you part-time or full-time?
Full-time
Part-time
What was your ending pay rate?
From
To
Employer
Address
Type Business
Position
Phone
Your Duties
Reason for Leaving
May we contact?
Yes
No
Your Supervisor's Name
Were you part-time or full-time?
Full-time
Part-time
What was your ending pay rate?
Check the areas below in which you have experience and would like assignments
General Office
Clerk
Receptionist/
Switchboard
Filing
Equipment
Fax
Phone System
Make, Model & number
of lines:
Typing
General
Forms
Statistical
Legal
Medical
Secretarial
General
Executive
Legal
Medical
Shorthand
Accounting
Payroll
Credit/
Collections
Payables/
Receivables
Bookkeeping
Bank Teller
Equipment
Calculator
Visual
Touch
Marketing
Sales
Demos
Shopper
Telemarketing
Detailer/
Merchandiser
Sampler/
Couponer
Customer
Service
Office Automations
Equipment Experience
Software Experience
For the areas below in which you have experience and would like assignments, note the number of years experience and record any important details in the space provided beside each skill.
Industrial Skills
Assembly Line
Years Exp.
Important Details:
Forklift
Years Exp.
Important Details:
Inspection
Years Exp.
Important Details:
Material Handling
Years Exp.
Important Details:
Stock Clerk
Years Exp.
Important Details:
Truck Driver
Years Exp.
Important Details:
Machine Skills
CNC/NC Machinist
(requiring setup exp)
Years Exp.
Important Details:
Machine Operator
(no setup)
Years Exp.
Important Details:
Machinist
Years Exp.
Important Details:
Millwright
Years Exp.
Important Details:
Printing Press
Operator
Years Exp.
Important Details:
Sheet Metal
Fabricator
Years Exp.
Important Details:
Tool and
Die Maker
Years Exp.
Important Details:
Benchwork Skills
Electronic
Assembler
Years Exp.
Important Details:
Power Hand
Tools
Years Exp.
Important Details:
Semi-Conductor
Assembler
Years Exp.
Important Details:
Soldering/
Wiring
Years Exp.
Important Details:
Structural Skills
Metal Worker
Years Exp.
Important Details:
Electrician
Years Exp.
Important Details:
Painter
Years Exp.
Important Details:
Pipe Fitter
Years Exp.
Important Details:
Plumber
Years Exp.
Important Details:
Tradesman Helper
Years Exp.
Important Details:
Welder
Years Exp.
Important Details:
Other Skills
Food Handling
Years Exp.
Important Details:
Foreman/Supervisor
Years Exp.
Important Details:
Janitor
Years Exp.
Important Details:
Landscaping
Years Exp.
Important Details:
Mechanic
Years Exp.
Important Details:
Other Skills
Years Exp.
Important Details:
Other Helpful Skills
Shopmath
Years Exp.
Important Details:
Metric Scale
Years Exp.
Important Details:
Keyboard
Years Exp.
Important Details:
Machime Measure
Tools
Years Exp.
Important Details:
Do you hold a Journeyman License?
Yes
No If yes, what trade?
Have you completed a Safety Training Course?
Yes
No If yes, when?
What was the name of the course?
Enter your Questions and/or Comments here:
EMPLOYMENT AGREEMENT
I hereby authorize Nan Vaden's Temple Temps to ask the companies and/or persons listed as references on this application any questions concerning me, my work skills, work habits and/or my conduct on the job, unless I have indicated on this application that I do not want the reference to be contacted.
I understand that the term of my employment shall be limited to the length of any temporary assignment I accept and I further understand that Nan Vaden's Temple Temps is not an employment agency. I agree that my employment may be terminated by Nan Vaden's Temple Temps any time without liability of wages or salary except those wages I earned on a temporary assignment prior to my termination.
When employed by Nan Vaden's Temple Temps, I agree that if I make claims against the said Temple Temps for personal injuries at any time, I will submit myself to be examined by a doctor or doctors of Temple Temps choice as often as may be requested.
Submitting this application to Temple Temps via E-mail is the same as signing it and submitting it in person or by mail.
Date submitted: