Flexible Staffing Solutions inc. - PRE-EMPLOYMENT APPLICATION

Pre - Employment Application

Applicant Name:
Position(s) applied for or type of work desired:
Type of employment desired:	full-time part-time temporary
Date you will be able to start work:
Do you have any objections to working overtime if necessary?			Yes No
Can you travel if required in this position?			Yes No
Have you been previously employed by our organization?			Yes No
Can you submit proof of legal employment authorization and identity?			Yes No
Have you ever been convicted of a felony?			Yes No
If yes, please explain ( conviction will not automatically bar employment ):


May we contact present employer?			Yes No
Have you ever been employed by a temporary employment service before?			Yes No

Employment History Please provide all employment information for your past 3 starting with the most resent.
Employer	Position held
Address	Telephone
Immediate Supervisor and title
Dates employed Form		To
		Salary:

Employer	Position held
Address	Telephone
Immediate Supervisor and title
Dates employed Form		To
		Salary:

Employer	Position held
Address	Telephone
Immediate Supervisor and title
Dates employed Form		To
		Salary: