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Employment
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Applicant Information
First Name
(Required)
Last Name
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Street Address
(Required)
City
(Required)
State
(Required)
Zip
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Phone
(Required)
Email Address
(Required)
Date Available
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Social Security Number
Desired Salary
Position Applied For
Are you a citizen of the United States?
(Required)
Yes
No
If no, are you authorized to work in the U.S.?
(Required)
Yes
No
Have you ever worked for this company?
(Required)
Yes
No
If yes, when?
Have you ever been convicted of a felony?
(Required)
Yes
No
If yes, explain:
I am seeking:
(Required)
Full Time
Part Time
I am available:
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you able to perform the essential functions of the position including repetitive bending and lifting with or without accommodations?
(Required)
Yes
No
If necessary for the job, I am able to: Work Overtime:
(Required)
Yes
No
Provide a valid Driver’s License:
(Required)
Yes
No
If so, fill out the following:
If so, fill out the following:
Endorsement(s):
Hazardous Material
Passengers
Tankers
Tank w/ Hazardous Material
School Bus
Double / Triple Trailers
Work the following shifts: (check all that apply):
Any
Day
Night
Swing
Rotating
Split
Military Service
Branch
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Education
High School
Address
Degree
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did You Graduate?
Yes
No
College
Address
Degree
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did You Graduate?
Yes
No
Other
Address
Degree
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did You Graduate?
Yes
No
References
Name
Relationship
Company
Phone
Address
Name
Relationship
Company
Phone
Address
Name
Relationship
Company
Phone
Address
Previous Employment
Company
Phone
Address
Supervisor
Job Title
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason For Leaving
May we contact your previous supervisor for a reference?
Yes
Second Choice
Company
Phone
Address
Supervisor
Job Title
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason For Leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Phone
Address
Supervisor
Job Title
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason For Leaving
May we contact your previous supervisor for a reference?
Yes
No
Upload Resume
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Disclaimer and Signature
Consent
(Required)
I agree
I certify that my answers are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as maybe necessary in arriving at an employment decision.
Total Quality Assurance International is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status or disability (in compliance with the Americans with Disabilities Act) with respect to employment opportunities.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signed
Date
MM slash DD slash YYYY
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Measurement Expertise
Engineering Services
Inventory and Data Collection
Plastic Recycling
‘Proactive Launch’ Services
Re-Packaging, Kitting, & Unitizing
Sorting, Rework, & Inspection Services
Transportation Services
Warehousing & Distribution
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