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?