<p> EMPLOYMENT EXPERTS, LLC. APPLICATION FOR EMPLOYMENT</p><p>Thank you for considering employment with Employment Experts, LLC. Our policy is to hire the best- qualified applicant. Please answer all questions completely as possible. Employment Experts, LLC. is an equal opportunity employer. Upon completion, your application will be reviewed. As positions become available, you will be notified to confirm a date for an interview. Please allow yourself 45 – 60 minutes for the interview process.</p><p>Last Name First Middle Date</p><p>Mailing Address Social Security Number</p><p>City State Zip Code Phone Number</p><p>Position Applying For Approximate Wage Alternate Phone Number</p><p>How did you hear about The Employment Experts, LLC.? Are you telephone accessible? </p><p>Yes No Are you eligible to work in the US? Are you willing to work overtime? When will you be available to Circle one Yes No Circle one Yes No begin work______Status Requested: Days Available (circle one) ____Full-Time ____Part-Time ___Other______Anyday Mon. Tues. Wed. Thur. Fri. Sat. Sun Hours: Day Hours: From______To______Are you willing to accept same day assignments? Available: Night Hours: From______To______Yes No Are you willing to take a drug What geographical area are you willing to work? Do you have reliable screening? Yes No transportation? Yes No In case of an emergency, please notify Relationship Telephone Number</p><p>Address City State Zip Code</p><p>EDUCATION Undergraduate Graduate High School Other College/University Professional School Name</p><p>Location</p><p>Years Completed 8 9 10 11 12 1 2 3 4 1 2 3 4 1 2 3 4 Diploma/Degree/ Major Subjects Studied</p><p>Revised 4/1/04 SPECIAL SKILLS AND QUALIFICATIONS</p><p> Check only the skills in which you have experience</p><p>___General Labor ___Security ___Masonry ___Stock Clerk ___Lift heavy objects ___Construction ___Warehouse Work ___Special License ___Gen. Construction ___Shipping/Receiving Specify:______Clean up ___Messenger/Delivery ___Clean Traffic Abstract ___Maintenance ___Mail Courier ___Carpentry ___Banquets ___Painting ___Restaurant ___Framing ___Hotels ___Landscaping ___Dishes ___Farming ___Cook ___Merchandise ___Waiter/Waitress</p><p>Clerical/Secretarial Office Equipment ___General ___PC/Mac Sales/Marketing ___Administrative ___Typewriter ___Host/Hostess ___Executive ___Copier ___Survey Taker ___Paralegal ___Facsimile ___Merch Display ___Postage Meter ___Product Demonstrator Typing/writing Skills Other:______Phone Sales Type ______wpm ___Cashier ___Long hand (fast) Computer Programs ___Short hand ___MS Word Accounting ___Speed write ___MS Excel ___Bookkeeper ___MS Outlook ___Assistant Special Terminology ___MS Access ___Full Charge ___Legal ___MS PowerPoint ___Accounts Payable ___Medical ___MS Publisher ___Accounts Receivable ___Engineering ___MS PhotoDraw ___General Ledger ___Bilingual language(s): ___MS FrontPage ___Trail Balance Specify:______Lotus ___Data Entry ______Internet ___Bank Reconciliation ___Speak ___Write ___Adobe PageMaker ___Sql. Entry ___Translate ___Read ___Adobe PhotoShop ___Posting ___Adobe Illustrator ___Bank Teller Telecommunications ___Corel Draw Phone Systems: ___Auto Cad ___Relief ___Full Time ___Quickbooks ___Single Line Other:______Multiple Lines ______Switchboard ______</p><p>Revised 4/1/04 EMPLOYMENT RECORD</p><p>Please fill this out briefly even if you have attached a resume. Thank you.</p><p>Name of Last/Previous Employer Telephone</p><p>Address City State Zip Code</p><p>Date Started Date Left Wage Rate</p><p>Position Held Name and Title of Supervisor May we contact them? Yes No Primary Duties</p><p>Reason for Leaving?</p><p>Name of Last/Previous Employer Telephone</p><p>Address City State Zip Code</p><p>Date Started Date Left Wage Rate</p><p>Position Held Name and Title of Supervisor May we contact them? Yes No Primary Duties</p><p>Reason for Leaving?</p><p>Name of Last/Previous Employer Telephone</p><p>Address City State Zip Code</p><p>Date Started Date Left Wage Rate</p><p>Position Held Name and Title of Supervisor May we contact them? Yes No Primary Duties</p><p>Reason for Leaving?</p><p>Revised 4/1/04</p>