PINQ Staffing LLC

More than just a staffing agency

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Date of Application: *//

Name *

First

Middle

Last

Date of Birth *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Date Available to Start *

Have you been convicted of a felony? *

Yes
No

Answering yes to this question will not prevent you from getting employment.

Date of Conviction//

If yes, explain. *

Are you eligible to work in the US? *

Yes
No

Are you 18 years or older? *

Yes
No

What is your career path? *

Please choose position closely related to interests and skills/experiences that apply to you personally.

In what area do you need/desire training? *

None
General Equivalency Diploma (GED)
Resume Building
Interview Training
Google IT
Forklift Operator
Unarmed Private Security
Hospitality
Certified Nursing Assistant
EMS Basic Training
American Heart (BLS Provider)
EMS BLS Provider
First Aid Training

PINQ and its partners would like to extend training opportunities which would make you more desirable in the career market.

Position Desired? *

Desired Shift? *

How did you hear about us? *

EMPLOYMENT INFORMATION

(List Present or Most Recent Employer First)

Most Recent Employer *

Employer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of position & Supervisor

Contact Number *

Permission to Contact *

Yes
No

Start Date //

End Date //

Reason for Leaving? *

Job Description *

Next Recent Employer *

Employer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of position & Supervisor *

Contact Number *

Permission to Contact *

Yes
No

Start Date *//

End Date *//

Reason for Leaving? *

Job Description *

Last Recent Employer *

Employer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of position & Supervisor *

Contact Number *

Permission to Contact *

Yes
No

Start Date *//

End Date //

Reason for Leaving? *

Job Description *

EDUCATION AND OFFICE SKILLS

High School *

Address

Date From *//

Date To *//

Did You Graduate *

Yes
No

College or Trade School *

Address

Date From //

Date To//

Did You Graduate? *

Yes
No

(If you did not attend college, please select no.)

Degree Received *

(Select none if you did not attend college.)

Office Experience *

Word
Excel
Access
Powerpoint
Publisher
Not Applicable/None

Name of position & Supervisor

Years of Typing Experience

Words per Minute

REFERENCES

1. Reference Name *

First

Last

Phone *

Email

2. Reference Name *

First

Last

Phone *

Email

3. Reference Name *

First

Last

Phone *

Email

MILITARY SERVICE INFORMATION

Military Service? *

Yes
No
Prefer Not to Disclose

Are you a veteran? *

Yes
No
Prefer Not to Disclose

Consent: By selecting above and signing, I hereby certify that the above information, is correct to the best of my knowledge. I understand that falsification of this information may prevent me from being hired or lead to my termination if hired. I also provide consent for my former employers to be contacted regarding work records. I further agree PINQ Staffing LLC may rely on this authorization to order and/run background checks *

Yes
No

Signature *

Date Signed *

File Upload (Resume)

Click or drag files to this area to upload. You can upload up to 2 files.

File Upload (Other)

Click or drag files to this area to upload. You can upload up to 2 files.

Contact Info

1019 E 54th ST North, Tulsa, OK. 74126

1 918.764.8757

[email protected]

https://pinqstaffing.com

About Us

PINQ Staffing. It's all in the name... Product, Insight, Notability & Quality. We are more than just a staffing agency.

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