Pre-Application Questionnaire

At which location do you wish to apply? *

Full-time or Part-time? *

First Name: *

Middle Name:

Last Name: *

Street Address: *

City: *

State: *

Zip Code: *

Home Phone: *

Cell Phone:

Email: *

Are you a U.S. citizen? *

Have you been convicted of a Felony? *

If yes, please explain:

Position applying for: *

Education

High School: *

College: *

Training School:

If a trade school, please describe:

Employment History

Have you previously worked for Staff-1?

If yes, give details:

Job #1

Employer Name:

City:

State

Job:

Reason for Leaving:

Job #2

Employer Name:

City:

State

Job:

Reason for Leaving:

Goals & Expectations

What are your Goals & Expectations from this job?