Payroll Information (optional)
Social Security Number
-
-
Federal Filing Status
Chose One
Exempt
Married
Single/Married - Withhold at higher single rate
Number of exemptions
Federal additional withholdings
Availability
Are you willing to work temporary?
YES
NO
Are you looking for full-time career position?
YES
NO
Are you looking for contract positions?
YES
NO
When are you
available
to start?
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What weekday hours are you
available?
Days
Days/Swing
All Shifts
Days/Gaveyard
Swing/Graveyard
Graveyard
Any Necessary
Not Avalible
AM Only
PM Only
What weekend hours are you available?
Days
Days/Swing
All Shifts
Days/Gaveyard
Swing/Graveyard
Graveyard
Any Necessary
Not Avalible
AM Only
PM Only
How many hours are you willing to work in a week?
Part Time (0-20 Hours)
Full Time (More than 20 hours)
Are you willing to work overtime?
YES
NO
What is the minimum pay you require?
How much notice will you need if a position is offered to you?
Same Day
One Day
1 Week
2 Weeks
3+ Weeks
How many miles are you willing to travel to work?
What is your lifting ability?
Make selection
10lbs Max/2lbs Frequently
25lbs Max/10lbs Frequently
50lbs Max/25lbs Freqently
80lbs Max/40lbs Frequently
100lbs Max/50lbs Frequently
100+lbs Max/50+lbs Frequently
Please select the office nearest to the location you are seeking work in: (Required)
Make a selection
Lewiston, ID
Eugene, OR
Grants Pass, OR
Medford, OR
Portland, OR
Roseburg, OR
Salem, OR
Salt Lake City, UT
Kent/Seattle, WA
Spokane, WA
Vancouver, WA
Other Not Listed
Criminal Background (Required)
A felony or misdemeanor conviction will not necessarily bar an applicant from employment. All information here will be verified for accuracy and completeness.
Are you willing to take and able to pass a drug screen for illegal drugs including tests for methamphetamine, amphetamines, THC and Opiates?
YES
NO
Have you ever been convicted of a felony, misdemeanor or served time?
YES
NO
If yes what is the date of your latest conviction.
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Please list any felony or misdemeanors you have. Please include the approximate date of the conviction, State the conviction occurred in, and if the conviction was a felony of misdemeanor.