This Application is for all position types. All information on this form is confidential.
This is a convenient and time saving way to begin the application process. Upon receipt, someone will contact you as soon as possible to coordinate an interview and schedule any testing.

If you already have a resume, you can send it as an attachment to our office, atworkstaffing.com, or fax to us at (619) 234-9678. We'll begin discussions regarding possible positions right away. (Note, however, that you will still be asked to complete the full application prior to any consideration for specific openings/placements to assure we have full disclosure and approved authorizations.)
Please answer each question on this form fully and accurately.
All applicants will receive consideration for employment on the basis of their qualifications and
without regard to their race, color, religion, sex, age, sexual orientation, national origin,
marital status, disability or any other legally protected basis.

PERSONAL INFO / CONTACT INFO
Full Name:

E-Mail:

Address:

City:

   State:   Zip:

Phone#:

Cell #:

   
Emergency Contact Name: Phone#:    
Minimum compensation required per hour for positions:   $
Other names used during employment / educational history:

Are you legally eligible for employment in this country? Yes No
(Proof of S Citizenship or immigration status will be required upon employment.)

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)?
  If yes, explain nature of the crime(s), when & where convicted, and disposition of the case.:
NOTE: Answering "Yes" to this question will not necessarily disqualify you from employment.

Have you ever worked for AtWork Staffing before? Yes No
If yes, give approximate date(s) & location (s)
POSITIONS OF INTEREST
Career interests:

Accounting/Financial Administrative/Clerical Legal HR
Customer Service/Reception Marketing/Graphics
Engineering Managerial Scientific Technical
Manufacturing/Industrial Other:

Location Preferences: All San Diego County Downtown North Coastal Inland
East County South County Other:
Status: Full Time Part Time
Temporary Temp-to-Hire Direct Placement
Availability: Days Swing Graveyard Any Shift Weekends Short Term
Available Date:
 

REFERRAL SOURCE

Advertisement: Referred by(name):
Please check any boxes below that you also used to find/preview us:
Our Internet Site    Other (please specifiy):

 
QUALIFICATIONS & EXPERIENCE
Please select all that apply.
Hold the control key to select more than one item in a group. Double click to delete. (Select non-applicable if your experience is not indicated.)
Administrative/Office
 Accounting/Financial
Computer Skills
Foreign Languages
Management Exper
Computer Technical
Misc. Office
Manufacturing/Industrial

EMPLOYMENT HISTORY
Please list most recent employer first.
Company:
Address:
Phone#: Present or Ending Salary:
Your Title:    
Start Date : End Date :
Supervisor's Name:
Duties:
Reason for Leaving:
May we contact? Yes No
Notes:
Company:
Address:
Phone#: Ending Salary :
Your Title:    
Start Date : End Date :
Supervisor's Name:
Duties:
Reason for Leaving:
May we contact? Yes No
Notes:
Company:
Address:
Phone#: Ending Salary:
Your Title:    
Start Date : End Date:
Supervisor's Name:
Duties:
Reason for Leaving:
May we contact? Yes No
Notes:

EDUCATION (provide detail on last or primary schools)
Select education level: 

Name of School:
Location:
Degree Completed:    If other:
Major(s):
Name of School:
Location:
Degree Completed:    If other:
Major(s):
LIST PROFESSIONAL CERTIFICATIONS, job-related skills, and/or qualifications acquired from employment, training, or other experiences, or additional information not contained elsewhere in this application that you feel may be helpful to us.
REFERENCES
Give the following information on three references who are not otherwise listed in this application (i.e. teacher, professor, or co-worker). Please do not list relatives or personal friends.

Name:

Telephone :
Area code Number

Address:

Company name (if applicable)

Street or PO

City State  Zip:

Professional Relationship:

Name:

Telephone :
Area code Number

Address:

Company name (if applicable)

Street or PO

City State  Zip:

Professional Relationship:

Name:

Telephone :
Area code Number
 

Company name (if applicable)

Street or PO

City State  Zip:

Professional Relationship:

Authorizations & Understandings
AtWork Staffing Services, an affiliate of AtWork Personnel Services, Inc., follows an employment process that is appropriate, ethical, and consistent in ascertaining a candidate’s capabilities, work and educational histories, and suitability for employment. As an applicant for a position with us, information you provide on your application and any other related documentation (such as a resume) will be verified. The statements and releases below provide us with the authorization to process your application as deemed appropriate. This application shall be considered active for a period of time not to exceed 12 months. Should you wish to be considered for employment beyond this time period, you will be required to complete another application. If you have any questions about this form, please bring them to the attention of the staffing representative.
Please read carefully, type agree to indicate your approval, and submit to us.

Upon placement through AtWork Staffing Services, I understand that AtWork Staffing is my employer and will be responsible for providing me with workers’ compensation coverage, unemployment insurance, and overtime pay as provided by law. I will read all safety materials provided and be responsible for educating myself in the safety policies and procedures followed by AtWork’s clients where I am assigned to work. Should I incur an injury while on a job assignment for AtWork, I will contact an AtWork representative immediately and report the accident (unless such injury is an emergency in which case I will contact AtWork as soon as possible after emergency treatment). I understand that failure to report an on-the-job injury or use of unauthorized treatment will jeopardize my claim.

I certify that answers given on this application and the information on my resume and/or any other document used to secure employment through AtWork are true, correct and complete to the best of my knowledge and without mental reservation of any kind whatsoever. I certify that I have not knowingly withheld any information that might adversely affect my chances for employment. I also certify that I have personally completed this application. I understand that any false statements, misstatements of material fact, or omissions of fact on this or any other document will constitute grounds for rejection of my application or, if I am employed, may be subject to dismissal regardless of the time elapsed before discovery.

I authorize AtWork to investigate my work record, education, references, and other matters related to my suitability for employment and, further, authorize the references and prior employers to disclose to the company information related to my work records, without giving me prior notice of such disclosure. I also release my former employers and all other persons and/or companies relating to this employment investigation from any claims or liabilities arising out of or in any way related to this investigation or disclosure.

I authorize AtWork Staffing Services to obtain and release a criminal record check as part of the employment process. I agree to submit to drug testing (urinalysis/blood sample screening) and/or a pre-employment physical as part of employment process. I understand and agree to the release of any of these test results to a company evaluating my application with the understanding that the results may be used to make a decision affecting my employment status. I am aware that any offer of employment is contingent upon the successful completion of these assessments and failure to meet minimum standards may result in immediate suspension or termination of employment.

I understand and acknowledge that any relationship with this organization, is of an “at will” nature, which means that nothing contained in the application, or conveyed during any interview which may be granted, or during my employment, if hired, is intended to create an employment contract between me and AtWork Staffing Services. I understand and agree that if I am employed, I may resign at any time and AtWork may discharge me at any time, with or without prior notice, and with or without cause. I understand and agree that no promises or representations contrary to the foregoing are binding on AtWork unless a specific document is authorized in writing by me and AtWork Staffing Services’ President.

I agree to not solicit nor accept employment with an AtWork Staffing Services client to whom I am referred for a full year without the express permission of AtWork Staffing Services. Should I accept work with a client that I was referred to through AtWork, I am aware that the client is obligated to pay all appropriate fees until I have worked through AtWork, at their location, a minimum of 520 hours.

If you have read, understand, and agree to the above statements, please type "AGREE" here: 

Please only submit once.

   

An equal opportunity and drug-free employer
All information is confidential.