Custom Personnel Application for Employment

Custom Personnel is always looking for talented, hard working individuals to fill a wide variety of temporary and temp-to-perm positions.
To ensure proper consideration, please fill in the information below as completely and accurately as possible.

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Cell Phone *

Email Address *

Position applying for

Are you legally authorized to work in the United States? *

Yes

No

For bonding purposes, have you been convicted of a felony within the last seven years? *

Yes

No

If yes, please explain.

Availability

Days Available *

Availability *

Full Time

Part Time

Temporary

Regular

Shifts Available *

Day (1st)

Swing (2nd)

Graveyard (3rd)

Education

High School

Dates

Degree/Diploma

Technical or College

Degree

Major

Skills

Typing Speed (words per minute)

Please check the box next to all of the skills in which you have experience *

Computer Software:

List any additional skills or certifications that you would like to mention.

Please submit a copy of your resume.

Factory	General Labor	Data Entry/Processing
Clerical	Cashier	Janitorial
Automotive Maintenance	Electrician	Carpenter
Machinist	Concrete	Plumbing
Welding	Waiter/Waitress	Food Prep
Cook	Warehouse - forklift	Warehouse - Load & Unload
Shipping/Receiving	Inventory	Stocking
Printing	Drafting	Delivery/Route Driver
Medical Front/Back Office	Nurse	Home Health
CNA	Accounts Payable or Receivable	Bookkeeping
Payroll	Landscaping	Sales/Marketing
Graphic Design	Other Other