Employment Application

Location & Position

Location *-- Please select a location --AL - IRONDALE AZ - PhoenixCO - DENVERFL - DAVENPORT FL - HOMESTEAD FL - JACKSONVILLEFL - JANNEX FL - MIAMIFL - OCALA FL - ORLANDOFL - PORT ST. LUCIE FL - TAMPA HDFL - WEST PALM BEACHGA - ATNC ELLENWOOD GA - AUSTELL GA - BEST BUY, DUBLIN GA - BRASELTON GA - COLUMBUS GA - COLUMBUS ANNEXGA - DOUGLASVILLEGA - EASTPOINT ANNEX GA - ELLENWOOD GA - KENNESAW GA - LANDSCAPINGGA - NORCROSS GA - PORT WENTWORTH GA - SMARTPOST ATL IL - MARIONIL - ROMEOVILLE/CHICAGOMI - CADILLAC MI - GRAND RAPIDSMI - PONTIAC MI - STERLING HEIGHTSMI - VAN BUREN MS - OLIVE BRANCH MS - PEARLMS - SOUTHAVEN NC - CHARLOTTE NJ - EAST BRUNSWICK NJ - JERSEY CITY/SECAUCUS NJ - LINDENNJ - TrentonNJ - US FOODS/PERTH AMBOY NY - ALBANYNY - BUFFALO NY - Buffalo FreightNY - BUFFALO-ANNEX NY - ROCHESTEROH - BOWLING GREENOH - RICHFIELD OH - RICHFIELD HDOH - TWINSBURGOK - EDMONDOR - PORTLAND PA - ERIE SC - DOLLAR GENERALTN - LEBANON TN - MEMPHISTN - MT. JULIETTX - DALLAS TX - MISSOURI CITY/HOUSTON TX - SHERMAN TX - XPOUT - MAGNA UTAHUT - SALT LAKE CITYWI - EAU CLAIREWV - CLARKSBURGWV - MORGANTOWN
Position *-- Please select a position --JanitorialLandscaperForklift/PalletMaintenance
Shift *-- Select Shift --1st Shift (approx. 6AM - 2PM)2nd Shift (approx. 2PM - 10PM)3rd Shift (approx. 10PM - 6AM)

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Basic Information

First Name *
Middle Name
Last Name *

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Contact Information

Primary Phone Number *
Alternate Phone Number
Email Address *
Home Address *
Apartment or Unit

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General Information *

Where did you hear about us? * -- Select Source -- INDEED CRAIG’S LIST FACEBOOK ALL 1 EMPLOYEE OTHER

Are you 18 years or older * Yes No

Are you a U.S Citizen? * Yes No

Are you a Veteran? * Yes No

Can you read and write English? * Yes No

List other languages that you can speak, read or write *

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General Information (cont.)

Are you able to pass a criminal background check? * Yes No

Where you ever previously employed by All 1 Service? * Yes No

Have you ever been terminated from a previous job? * Yes No

Do you have any relatives that work for All 1 Service? * Yes No

Do you have your own transportation available? * Yes No

Do you have a valid driver's license? * Yes No

Are you willing to work during evenings? * Yes No

Are you willing to work weekends? * Yes No

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Physical Tasks

Do you feel that you can perform the following tasks?

- Stand on your feet for periods of time up to 8 hours * Yes No

- Lift up to 75 pounds? * Yes No

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Education

High School *
City and State *

Did you graduate? * Yes No

Add College

List any special courses that you took
List any special skills and equipment that you can operate

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Personal Reference

Please list a personal reference that we may contact

Name *
Phone *
Relationship *

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Employment History

List employment, beginning with PRESENT job and including military experience, within the past 5 years

Employer #1

Name of Employer
Job Title
Duties/Responsibilities

Start Date
End Date

Rate of Pay

Employer #2

Name of Employer
Job Title
Duties/Responsibilities

Start Date
End Date

Rate of Pay

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TERMS OF ACCEPTANCE & SIGNATURE

I hereby claim that the information contained in this application is true and correct to the best of my knowledge. I know that if I have given false information in this application, I can and will be terminated immediately.

I do agree to make myself available to be interviewed by a representative of ALL 1 SERVICE regarding the position for which I am applying.

I give my authorization for a representative of ALL 1 SERVICE to call any of my previous employers to conduct reference checks regarding my work habits, character and skills.

I agree to submit to employee screening processes normally initiated by ALL 1 SERVICE such as Drug Screening, Criminal History, Credit History, Integrity Interview, and others as may be deemed appropriate.

I understand that if I am hired I will be working an initial 90 days probationary period and that thereafter the employment will be for an indefinite period.

Electronic Signature

Please type your First and Last Name

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BACKGROUND INVESTIGATION CONSENT FORM

I, , hereby authorize ALL 1 SERVICE, INC agents and/or customers to make an independent investigation of my background, references, character, past employment, education, credit history, criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my Application and/or obtaining other information which may be material to my qualifications for employment now and, if applicable, during the tenure of my employment with Company.

I release ALL 1 SERVICE, INC and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from any and all of the above referenced sources used.

The following is my true and complete legal name and all information is true and correct to the best of my knowledge.

Maiden Name or Other Names Used *
How long have you been living at ? *

Date of Birth *

Gender : Male Female

I, the applicant for employment at All 1 Service, Inc., warrant the truthfulness of the information provided in this application.

Electronic Signature *

Please type your First and Last Name *

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Please Review this information before submitting