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Position
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Send
Your Prepared Resume
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text file only, please.
Education
School
Name & Address
of School
Course of
Study
Yrs Completed
Diploma/Degree
High School
Undergraduate College
Graduate/ Professional
Other
Employment
Information
If you are
under 18 years of age, can you provide required proof
of your eligibility to work?
Yes
No
Over 18
Have you
ever been convicted of a felony?
Yes
No
Are you
prevented from lawfully becoming employed in this
country because of Visa or Immigration Status?
Yes
No
U.S. Citizen
Are you
available to work:
Full Time –
1st Shift
2nd Shift
3rd Shift
Part Time –
Mornings
Afternoons
Evenings
Temporary –
Dates Available:
Work
Experience
Start with
your present or last job. Include any job-related
military service assignment and volunteer activities.
You may exclude organizations which indicate race,
color, gender, national origin, disabilities or other
protected status.
Position
1
Position
2
Position
3
Position
4
Comments
Personal/Professional
References
Do not include family
members or past supervisors.
Additional
Information
Describe
any specialized training, apprenticeship, skills
and extra-curricular activities.
Specializations
Policies
and Procedures
Please
carefully read each item and check the "I agree"
box below.
(Further Policies and Procedures are listed in your
Employee Guide)
DRUG POLICY. Malone
Staffing and their clients realize the importance of
a safe working environment. As a result, we are sometimes
requested by our clients to have employees tested for
illegal drugs, substances, and alcohol. A positive test
or refusal to submit to a urine or blood/breath alcohol
screen may result in disciplinary action up to and including
termination of employment.
NO
SHOW - NO CALL. It is expected that if you accept
a position, but cannot go, that you will notify
Malone Staffing ASAP. This is the responsible
thing to do and hopefully gives us the time to
find a replacement for the client. One No Show without good reason will result in automatic
inactivation.
TERMINATION
NOTICE. A two-day notice of termination is required.
If you quit without a two-day verbal/written
notice or walk off the job, then your pay for
that week will be reduced to minimum wage. Exceptions
may be made if there is a valid reason for leaving
the job site without notification.
ASSIGNMENTS. When
your assignment ends you must call the office and report
your availability within 48 hours of your termination
notification. Until you are placed on another assignment
you are to contact Malone Staffing once a week to check
in for work. Failure to do so will be indication that
you are no longer available for work and have voluntarily
quit Malone Staffing.
EMPLOYEE
RECORDS. If you change your name, address or telephone
number you must report the change immediately
to Malone Staffing. Failure to do so will be
indication that you are no longer available for work and have
voluntarily quit Malone Staffing.
HARASSMENT. Malone
Staffing will not tolerate any form of sexual harassment
by an employee or any other individual who conducts business
with Malone Staffing. If you feel like you are experiencing
any type of harassment, you must notify a Malone Staffing
Manager immediately.
BACKGROUND
CHECK. Malone Staffing may contact and obtain information
about you from any or all of your references,
former employers, credit agencies, educational
institutions, person, and law enforcement agencies.
Consequently, you release Malone Staffing, its
employees and all other persons and corporations
from all liability and responsibility arising
out of such inquiry or the response to such inquiry.
I agree to abide
by the above Policies and Procedures and those listed
in the Malone Staffing Employee Guide.
Further, I understand and agree
that if Malone Staffing hires me, my employment relationship
with Malone Staffing is at will. This means that
just as I have the right to end my employment with
Malone Staffing at any time, for any reason or no
reason, with or without notice, Malone Staffing has
the right to end my employment with Malone Staffing
at any time, for any reason or no reason, without
notice. Further, I agree to be responsible regarding
the duties required on each assignment. I agree to
be on time, observe regulations, be well groomed,
and suitably dressed, perform to the best of my ability,
and complete the assignment. I understand that Malone
Staffing will pay me at an hourly rate specified
when accepting each assignment. All pay rates are
confidential and I agree not to disclose or discuss
the information. I will not accept permanent employment
from any company (customer) of Malone Staffing to
whom I have been assigned within 90 days of my last
assignment to the same company without the documented
consent of Malone Staffing. Malone Staffing is authorized
to make a thorough investigation of my work history
by contacting former employers and personal references.
I verify that all information provided by me on this
and all Malone Staffing forms is correct. I will
hold Malone Staffing harmless from any claims including,
but not limited to, personal injury or illness as
a result of my providing false information on this
application. I understand that failure to fulfill
any part of the above agreement may result in termination.