Job Application

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SSS Job Application Form

Spring Staffing Services provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any person on the basis of race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, sexual orientation or any other legally protected status.

Please:-

W-4 Form and I-9 Form may be downloaded, filled and attached in the relevant section in this form.
Direct Deposit Form may be filled here
Complete all items on the application, even if the information is included on your resume or other document submitted by you.
Properly e-sign the form.
Specify the exact title of the position in which you are interested.
Type or print all requested information.
If necessary, attach additional 8 1/2″ x 11″ sheets of paper at the end of this application.

Personal Information

First Name*

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Middle Name

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Last Name*

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Gender*

Write here

Social Security No.*

SSN

Date of Birth*

Select Date ×

Address*

Address (Street)

City

State

Zip Code

Telephone Number*

Phone

Alternate Telephone

Phone

Email Address*

Email Address

Driver's License (State / No.)

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General Information

What position are you applying for?*

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Are you legally eligible for work in the USA?*

(If yes, verification will be required)

Yes

Have you ever applied to or worked for Spring Staffing Services before?*

If so, when?

Yes

Write here

Are any of your relatives currently working for Spring Stffing Services?*

If so, please list name and department, if applicable.

Yes

Write here

Have you ever been convicted of a felony?*

If yes, please explain.

Yes

Write here

Employment Request

Minimum Salary Requested*

in US Dollars

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If applicable, are you available for overtime?*

Yes

What is the earliest date you can begin work?*

Select Date ×

Employment HistoryPlease begin with most recent employment

May we contact your current employer?*

Yes

Not Applicable

	Employer Name / Company	Address	Supervisor	Telephone	Date (from)	Date (to)	Salary (start)	Salary (final)	Position	Duties	Reason for Leaving
	Employer Name / Company	Address	Supervisor	Telephone	Date (from)	Date (to)	Salary (start)	Salary (final)	Position	Duties	Reason for Leaving
Employment 01	Employer Name / Company	Address	Supervisor	Telephone	Date (from)	Date (to)	Salary (start)	Salary (final)	Position	Duties	Reason for Leaving
Employment 02	Employer Name / Company	Address	Supervisor	Telephone	Date (from)	Date (to)	Salary (start)	Salary (final)	Position	Duties	Reason for Leaving
Employment 03	Employer Name / Company	Address	Supervisor	Telephone	Date (from)	Date (to)	Salary (start)	Salary (final)	Position	Duties	Reason for Leaving

Education

Educational Qualifications

	Name	Location	Course of Study	Degree Obtained	Year of Graduation
	Name	Location	Course of Study	Degree Obtained	Year of Graduation
High School / GED	Name	Location	Course of Study	Degree Obtained	Year of Graduation
College / University	Name	Location	Course of Study	Degree Obtained	Year of Graduation
Graduate School	Name	Location	Course of Study	Degree Obtained	Year of Graduation
Vocational / Specialized	Name	Location	Course of Study	Degree Obtained	Year of Graduation

Military

Military Service*

Yes

Branch*

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Specialized Training*

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References

List down your references here

	Name	Company	Title	Contact Information
	Name	Company	Title	Contact Information
Reference 01	Name	Company	Title	Contact Information
Reference 02	Name	Company	Title	Contact Information
Reference 03	Name	Company	Title	Contact Information
Reference 04	Name	Company	Title	Contact Information
Reference 05	Name	Company	Title	Contact Information

Additional Information / Documents

Additional Information

Any additional information you think we should know before processing your job application

Write Here

Upload I-9 and W-4 Forms

Optional:

I-9 and W-4 forms may be downloaded, filled and attached here

Drag 'n Drop files here

Max file size: 5.00 MB. | Allowed file types: pdf | Max number of files: 2 | Min number of file: 1

Select Files

Additional documents / sheets?

Any additional documents relevant to your application may be attached here.

Drag 'n Drop files here

Max file size: 5.00 MB. | Allowed file types: gif,jpeg,png,jpg,pdf,doc,docx | Max number of files: 3

Select Files

Signature / Certification

I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for rejection of my application or, if I am employed by this company, for my immediate termination from employment.

I authorize Spring Staffing Services to make any necessary inquiries and investigations into my education, military, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to Spring Staffing Services by any of the schools, services, or employers listed on this application.

Signature

Submission Date*

Server date, read-only

SSS Job Application Form

Personal Information

General Information

Employment Request

Employment HistoryPlease begin with most recent employment

Education

Military

References

Additional Information / Documents

Upload I-9 and W-4 Forms

Additional documents / sheets?

Signature / Certification

Signature

Your form has been submitted

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