Dawson & Dawson staffing professionals - Online Application

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Last Name First Middle	Home Phone	Ideal Position	Date
Street Address Apt. #	Business Phone	How long at current address? Own Rent	Consultant Name
City State ZIP	Cell Phone	Salary Desired $ Least Acceptable $	How did you hear of us?
High School Last Year Completed 9 10 11 12 GPA	Business Courses Taken	Email Address
College Years Completed 1 2 3 4 GPA	Business Courses Taken	Acceptable driving time	Do you have reliable transportation? Yes No
Post Graduate Major GPA	Business Courses Taken	School now attending and courses taken
Attributes Would you accept a counter offer? Why?
Computer Skills 1. 2. 3. 4. Accounting / Finance Full Charge Accts. Rec. Accts. Pay Collections P&L's Fin. State 10-key Payroll Typing WPM Telephone No. of lines Data Entry Human Resources Customer Service Administrative Other: Other skills Other languages and hobbies

List last position first

EMPLOYMENT HISTORY

No resumes please

Company Name Start Month / Year /	Line of business End Month / Year /	Position	Starting Salary $ Ending Salary $ Commission $	Reason for leaving
List all duties of position:

Company Name Start Month / Year /	Line of business End Month / Year /	Position	Starting Salary $ Ending Salary $ Commission $	Reason for leaving
List all duties of position:

Company Name Start Month / Year /	Line of business End Month / Year /	Position	Starting Salary $ Ending Salary $ Commission $	Reason for leaving
List all duties of position:

APPLICANT INFORMATION

Previous address (if less than 2 years at current residence)	From	To
Are you over 18 years of age. If not, employment is subjecto to verification of minimum legal age	Yes No
Have you ever had a fidelity bond cancelled or refused?	Yes No
Is there any type of work which your physical or mental condition prohibits, or has a physician advised you not to perform certain type of work?	Yes No
Have you ever been convicted of any criminal offense (including DUI)?	Yes No
I certify that all the statements and facts on this form are true and correct to the best of my knowledge. I understand that if employed, any mis-statement or ommission of fact on this application shall be considered cause for dismissal. Social Security Number:

So that our Placement Consultants will not duplicate your efforts, please list all the companies and agencies you have contacted on your own or through another service:
Company	Interviewer	Specific Job	Result