About Us
For Candidates
Our Process
Career Opportunities
Online Application
For Employers
Our Process
Available Candidates
Post a Job
Online Time Sheet
Contact
About Us
For Candidates
Our Process
Career Opportunities
Online Application
For Employers
Our Process
Available Candidates
Post a Job
Online Time Sheet
Contact
Online Application
For Candidates
Our Process
Career Opportunities
Online Application
Online Application
Personal Data
First Name
*
Middle Name
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Previous Address
*
City
State
Zip
Phone
*
Mobile/Beeper/Other
Email Address
*
Position(s) Applied For
select position type
Technical
Skilled Trades
Professional
Position Name
Referral Source
Additional Information
If necessary, what is the best time to call you?
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If you are under 18 and it is required, can you furnish a work permit?
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Yes
No
Not Applicable
Are you legally eligible for employment in this country?
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Yes
No
Do you have a valid Driver's License?
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Yes
No
Desired Salary Range
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Date Available for Work
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Will you work overtime if required?
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Yes
No
What shifts are you willing to work?
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First
Second
Third
Will you travel if job requires it?
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Yes
No
Have you ever been convicted of, plead nolo contendere (no contest) to, or been fined in connection with any felony, misdemeanor, municipal ordinance violation, or any other type of offense (other then a parking ticket), regardless of the nature of the penalty or fine for that offense?
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Yes
No
Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.
If Yes, Please Provide Date(s) and Details
State any additional information you feel may be helpful to us in considering your application
Education Background
School #1
Degree or Diploma Earned
State
Graduation Date
School #2
Degree or Diploma Earned
State
Graduation Date
Skills and Qualifications
Summarize any special training, skills, license and/or certifications that may qualify you as being able to perform job-related functions in the position for which you are applying.
Employment History #1
Provide the following information of your past and current employers, assignments or volunteer activities, starting with the most recent (use additional sheets if necessary). Explain any gaps in employment in comments section below.
Employer
Phone
Dates Employed
Final Wage/Salary
Starting Job Title
Final Job Title
Summarize type of work performed and job responsibilities
Reason for Leaving
May we contact for reference?
Yes
No
Employment History #2
Provide the following information of your past and current employers, assignments or volunteer activities, starting with the most recent (use additional sheets if necessary). Explain any gaps in employment in comments section below.
Employer
Phone
Dates Employed
Final Wage/Salary
Starting Job Title
Final Job Title
Summarize type of work performed and job responsibilities
Reason for Leaving
May we contact for reference?
Yes
No
Employment History #3
Provide the following information of your past and current employers, assignments or volunteer activities, starting with the most recent (use additional sheets if necessary). Explain any gaps in employment in comments section below.
Employer
Phone
Dates Employed
Final Wage/Salary
Starting Job Title
Final Job Title
Summarize type of work performed and job responsibilities
Reason for Leaving
May we contact for reference?
Yes
No
Comments (explain any gaps in employment, etc.)
References
List name and telephone number of two business/work references that are NOT related to you and ARE previous supervisors. If not applicable, list two schools or personal references that are not related to you.
First Name
Last Name
Phone
Company
First Name
Last Name
Phone
Company
Applicant Statement
I agree to the following policies of employment. I understand and agree that if I fail to report to a new or existing job assignment without calling Direct Start at least one hour prior to starting time, fail to complete an assignment after accepting it, or fail to contact Direct Start after the completion of an assignment, I have voluntarily quit my employment with Direct Start. I understand that Direct Start may assign me to a client that requires a pre-employment physical, psychological testing, and/or random drug screening while employed. The information provided on this application is accurate to the best of my knowledge and subject to verification by this company. I agree and allow Direct Start to release confidential information including references, letters of recommendation, my experience, background, and criminal checks with our prospective client companies. I understand that I must truthfully answer all the questions on this application. I also understand that if I do not, I may be refused employment, or separated, if I am a current company employee.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICATION STATEMENT.
I certify that I have read, fully understand and accept all terms of the foregoing Application Statement.
Applicant Signature
*
Date
*
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