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Application Form

Personal Information

First Name

Last Name

Date of Birth

Social Security Number

Address

City

State

Zipcode

Phone 1

Phone 2

Have you ever been convicted of a crime other than a minor traffic incident?
YesNo

If Yes, please explain:

Desired Employment

Employment TypeFull TimePart Time

TransportationYesNo

Position applying for

Date you can start

EDUCATION (starting from the latest)

First Education Row

School

Location

Date Graduated

Attainment

Second Education Row

School

Location

Date Graduated

Attainment

WORK EXPERIENCE

First Work Experience Row

Employer Name

Start Date / End Date

Position

Reason for leaving

Second Work Experience Row

Employer Name

Start Date / End Date

Position

Reason for leaving

May we contact your previous employer? YesNo

If No, why?

IF Yes, name of Supervisor:

Contact number:

PLEASE LIST ANY NOTABLE SKILLS BELOW (Forklift, Certification, Licenses, etc.)

BACKGROUND CHECK

I hereby authorize I & L Staffing to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying, and be responsible for any cost that is required.

I hereby certify the information above is accurate. I hold myself Responsible for any Discrepancies on the information above.

You need to accept the conditions in the Background Check section to be able to send the request

Offices

4200 South Fwy #280,
Fort Worth, TX 76115

8500 N Stemmons Fwy #2060,
Dallas, TX 75247

Contact Us

info@il-staffing.com

Office: 817-682-8429

Sales: 817-564-6401