Apply Today - Application

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Advantage Staffing, Inc.

At Advantage Staffing, our success is directly attributed to the quality of our candidates and employees.

Temporary & Temp-to-Hire Applicants: Fill out the on-line application below and we will see what opportunities we may have for you. If we think we can help you - we may ask you to come to our Medford office for testing and interviewing.

Executives & Professionals: Please feel free to fill-out the on-line application below. However, please do also send us your Resume. Nationwide candidates will not be required to come to our office for testing or interviewing, we will make other arrangements and conduct telephone interviews as needed.

Please fill out the following detailed information and press "submit" when it is complete.

If you have a resume, feel free to email it to us.

Personal Information

* Social Security Number (Enter numbers only, no punctuation ex: 111223333)

Salutation

* First Name (Required)

* Last Name - (Full legal last name(s) ) (Required)

Middle Name

Nickname - and list all other names you use

Mailing Address

Mailing Address (cont.)

City
State Zip

Country
Referred By:

Additional Personal Information

Driver's License Number and State/Country Issued

Driver's License Expiration Date - Specify: Current or Expired

Identification Card Number and State/Country Issued - if no license

Contact Information

* Telephone Number (Required - enter numbers only, no punctuation ex: 5415551212)

Message/Work Phone Number - (Enter numbers only, no punctuation ex: 5415551212)
Contact name:

* Email Address (Required - ex: receptionist@advantagestaffing.net)

Work Search Information

Please enter one specific job you are applying for:

Other Job Titles you are qualified for:

Have you ever worked for ASI before? If "Yes" - what month/year

Have you ever applied to ASI before? If "Yes" - what month/year

Applied at other Staffing Services or Executive Recruiters in the last 6 months? Please list all company names and cities applied at:

Other Information:

Responsibilities:

What responsibilities do you have which could affect your job performance in any way - Please be specific.

Legal Work Status:

Are you prevented from lawfully becoming employed in the United States of America because of immigration or VISA status?
Yes No

Are you at least 18 years of age? (We do employ some minors in limited areas.)
Yes No If no, How old are you?

Convictions:

List all offenses of which you have been convicted, and/or for which you have served time including "DUI", "DWS", felonies and all other offenses (except for Parking tickets and other minor offenses), with month/year of convictions, location of convictions, penalties, time served, fines, etc. and current status of convictions. A conviction will not necessarily bar you from employment. No party shall be excluded from consideration due to prior arrests.

Income Requirements:

Lowest Starting Wage you'll accept: (Enter numbers only, no punctuation ex: 1250 or 35000)
per hour or year

Desired Starting Wage (be realistic): (Enter numbers only, no punctuation ex: 1250 or 35000)
per hour or year

Annual Salary Range desired - (Executives & Professionals) (Enter numbers only, 85000)
per year

Employment Goals:

What are your long range employment goals?

Last Employment Date:
What was the last date you were employed? AND have you ever been discharged or asked to resign from former employment? If yes, please explain.

Availability:

* Enter Date available for work (Required - enter numbers only, no punctuation ex: 061504)

Days Available
MonTueWedThuFriSatSun

Describe transportation to and from work:

Looking for Temporary, Temp-to-Hire, Permanent - Please describe:

Employment History:

List your last 6 jobs - start with your Most Recent position.

1.
* Company Name

Address

* City (City, State and Zip are Required)
State Zip

* Date Work Began (Required - enter numbers only, no punctuation ex: 061504)

Date Work Ended (Enter numbers only, no punctuation ex: 061504)

Phone Number including area code (Enter numbers only, no punctuation ex: 5415551212)

Supervisor Name and Title

Starting Pay and Ending Pay - (feel free to explain promotions here as well)

Title(s) held and Responsibilities

Skills & expertise utilized, equipment, software/hardware used, etc.

Reason for leaving

2.
Company Name

Address

City
State Zip

Date Work Began (Enter numbers only, no punctuation ex: 061504)

Date Work Ended (Enter numbers only, no punctuation ex: 061504)

Phone Number including area code (Enter numbers only, no punctuation ex: 5415551212)

Supervisor Name and Title

Starting Pay and Ending Pay - (feel free to explain promotions here as well)

Title(s) held and Responsibilities

Skills & expertise utilized, equipment, software/hardware used, etc.

Reason for leaving

3.
Company Name

Address

City
State Zip

Date Work Began (Enter numbers only, no punctuation ex: 061504)

Date Work Ended (Enter numbers only, no punctuation ex: 061504)

Phone Number including area code (Enter numbers only, no punctuation ex: 5415551212)

Supervisor Name and Title

Starting Pay and Ending Pay - (feel free to explain promotions here as well)

Title(s) held and Responsibilities

Skills & expertise utilized, equipment, software/hardware used, etc.

Reason for leaving

4.
Company Name

Address

City
State Zip

Date Work Began (Enter numbers only, no punctuation ex: 061504)

Date Work Ended (Enter numbers only, no punctuation ex: 061504)

Phone Number including area code (Enter numbers only, no punctuation ex: 5415551212)

Supervisor Name and Title

Starting Pay and Ending Pay - (feel free to explain promotions here as well)

Title(s) held and Responsibilities

Skills & expertise utilized, equipment, software/hardware used, etc.

Reason for leaving

5.
Company Name

Address

City
State Zip

Date Work Began (Enter numbers only, no punctuation ex: 061504)

Date Work Ended (Enter numbers only, no punctuation ex: 061504)

Phone Number including area code (Enter numbers only, no punctuation ex: 5415551212)

Supervisor Name and Title

Starting Pay and Ending Pay - (feel free to explain promotions here as well)

Title(s) held and Responsibilities

Skills & expertise utilized, equipment, software/hardware used, etc.

Reason for leaving

6.
Company Name

Address

City
State Zip

Date Work Began (Enter numbers only, no punctuation ex: 061504)

Date Work Ended (Enter numbers only, no punctuation ex: 061504)

Phone Number including area code (Enter numbers only, no punctuation ex: 5415551212)

Supervisor Name and Title

Starting Pay and Ending Pay - (feel free to explain promotions here as well)

Title(s) held and Responsibilities

Skills & expertise utilized, equipment, software/hardware used, etc.

Reason for leaving

Education:

* High School: Specify 12 years, GED or foreign equivalence? (Required)

* City (City and State are Required)
State

* Did You Graduate? (Required)

* GPA (Required)

College/University:

City
State

Degree

Major

Date of degree (Enter numbers only, no punctuation ex: 061504)

Comments on education:

Trade School attended:

City
State

Degree

Major

Date of degree (Enter numbers only, no punctuation ex: 061504)

Comments on education:

Military School attended:

City
State

Degree

Major

Date of degree (Enter numbers only, no punctuation ex: 061504)

Comments on education:

References:

1.
* Reference First Name (Required)

* Reference Last Name (Required)

Reference Phone Number (Enter numbers only, no punctuation ex: 5415551212)

* City (Required)

* Reference Relationship (Required)

2.
Reference First Name

Reference Last Name

Reference Phone Number (Enter numbers only, no punctuation ex: 5415551212)

City

Reference Relationship

3.
Reference First Name

Reference Last Name

Reference Phone Number (Enter numbers only, no punctuation ex: 5415551212)

City

Reference Relationship

ASI Does Not Discriminate:

Advantage Staffing, Inc. is an Equal Opportunity Employer and does not discriminate because of race, national origin, creed, sex, marital status, veteran status, arrest record or presence of disabilities or age.

APPLICATIONS REMAIN ON FILE FOR AT LEAST 180 DAYS.
I certify that all of the statements I make now and in the future to ASI - verbally and in writing - including in this application (also including all related forms and/or tests) are true, accurate and complete to the best of my knowledge and belief, and I authorize ASI and its agents to verify and/or investigate any of the information. I realize misrepresentation of facts may be cause for rejection of my application or dismissal at any time (if I am hired). I also agree to faithfully abide fully by all of the policies and procedures of ASI communicated in any way to me now and in the future. I also promise to be honest and ethical in everything involved with ASI. In addition, during the ASI selection process, and if I am hired, I promise to NEVER use any illegal drugs - while continuing to be an employee of ASI, and I will never go to an ASI job while even slightly under the influence of alcohol or any illegal or impairing substances. I also promise that I will practice safety on all ASI jobs, and I will report to ASI any and dangers that I observe on the job. I understand that if and when I complete all pre-employment requirements-including any required Drug Testing-and a "W-4 Form" (and other papers) for ASI, it is then that I will become and "On-call Employee" of Advantage Staffing, Inc. and am then eligible to receive telephone calls during which ASI may offer me "Temporary", "Temp-to-Hire" jobs or other employment.

Must type "YES" to submit

IF ERROR OCCURS AFTER SUBMISSION:
Use the back button on your browser. Do not use the link on the error page.

Medford Corporate Office:

Cobblestone Village - 1257 North Riverside, Suite Eight - Medford, Oregon 97501

Portland Office:

506 SW 6th Avenue, Suite 611 - Portland, Oregon 97204

Grants Pass Office:

531 NE "E" Street, Suite D - Grants Pass, Oregon 97526

Portland: 503-297-0888 - Salem: 503-362-8983 - Albany: 541-926-8595 - Eugene: 541-341-3378

Medford: 541-773-8888 - Bend: 541-382-7818 - Grants Pass: 541-476-5932 - Roseburg: 541-440-8447

Ashland: 541-488-1119 - Klamath Falls: 541-882-1272 - Nationwide: 1-888-287-7079

Medford Corporate Fax: 541-773-8158

Grants Pass Fax: 541-472-9681

Portland Fax: 971-222-0005

Accounting Fax: 541-773-8037

(Please send all payroll information to Accounting Fax)

Questions and Comments

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Last changed: July 18, 2008

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