Personnel Source, Inc. - Job Postings

Employment Application

Thank you for taking the time to complete our online employment application. Please fill out the application below as completely as possible. If any question does not apply to you please leave it blank. You must complete the employment history and education sections even if you are submitting a résumé.

Please submit only one copy of your application.
Your application will be kept on file for 90 days and used to match you to any positions that require your skill set that become open during that time.

Personal Information
Do you have the legal right to work in the United States? (Required)	Yes No
First Name (Required)
Middle Initial
Last Name (Required)
Nickname/Preferred Name
Street Address (Required)	Apt#
City (Required)
State / Zip Code (Required)
Home Phone (Required)	( ) -
Other Phone	( ) -
E-Mail Address
Driver License or ID Card number
State of Issuance
Social Security Number Optional	- -

Availability
Are you willing to work temporary?	YES	NO
Are you looking for full-time career position? YES NO
Are you looking for contract positions? YES NO
When are you available to start?	⁄ ⁄
What weekday hours are you available?
What weekend hours are you available?
How many hours are you willing to work in a week?
Are you willing to work overtime? YES NO
What is the minimum pay you require?
How much notice will you need if a position is offered to you?
How many miles are you willing to travel to work?
What is your lifting ability?
Please select the office nearest to the location you are seeking work in: (Required)
Seattle Area Applicants - We are no longer doing placements for Industrial or Production positions in the greater Seattle WA area, we are continuing to accept applications for Clerical and Administrative positions.
Criminal Background
A felony or misdemeanor conviction will not necessarily bar an applicant from employment. All information here will be verified for accuracy and completeness.
Are you willing to take and able to pass a drug screen for illegal drugs including tests for methamphetamine, amphetamines, THC and Opiates? YES NO
Have you ever been convicted of a felony, misdemeanor or served time? YES NO
If yes what is the date of your latest conviction.	/
Please list any felony or misdemeanors you have. Please include the approximate date of the conviction, State the conviction occurred in, and if the conviction was a felony of misdemeanor.

Education
Enter the most recent or most relevant for the type of work that you are seeking.
Name of School
Type of school
Street Address
City
State / Zip Code
Start Date (Month/Year)	/
End Date (Month/Year)	/
Degree
Major Study Area
Other Studies

Recent Employment
This section of our application should be filled in as completely as possible even if you are submitting a résumé. The information provided here will be used to generate a resume for you if you are unable to provide a suitable replacement. Please fill this section in with as much detail as possible. If you have no employment history to report please leave this section blank.
List most recent first
Company Name
Street Address
City
State / Zip Code
Supervisor Name
Job Title
Job Duties/Description
Start Date (Month/Year)	/
End Date (Month/Year)	/
Start Wage
End Wage
Reason for leaving this employer
May we contact this employer for a reference check?	Yes No

Company Name
Street Address
City
State / Zip Code
Supervisor Name
Job Title
Job Duties/Description
Start Date (Month/Year)	/
End Date (Month/Year)	/
Start Wage
End Wage
Reason for leaving this employer
May we contact this employer for a reference check?	Yes No

Company Name
Street Address
City
State / Zip Code
Supervisor Name
Job Title
Job Duties/Description
Start Date (Month/Year)	/
End Date (Month/Year)	/
Start Wage
End Wage
Reason for leaving this employer
May we contact this employer for a reference check?	Yes No
Bonding

Do you have any current or expired insurance bonding?	Yes No
Please list any current or expired bond that you have or have had in the past.

This skills section will help our recruiters help match your skill sets to our current job postings. Please enter the number of years experience you have in each of the following skill areas. If you do not have any experience in a particular field please leave it blank. You're skills will be verified against the job history you provide for accuracy, please be as accurate as possible when listing your skills. Inaccurate reporting of your skills may invalidate your application.

By not completing this section our computer system will be unable to match your application to our job postings.

Forklift Operator	Heavy Equipment	Machine/Equipment Maint.
Below please indicate what kind of enviornment you operated a fork lift in.	Please indicate below what kind of heavy equipment you operated.
General Warehouse	Boom Truck	Mechanic
Wood Products	Crane	Millwright - Welder or Electrician
Was is a specialized fork lift? (i.e. Squeeze Clamp, Etc.)	Front Loader/Dozer	Millwright - Welder or Electrician
Was is a specialized fork lift? (i.e. Squeeze Clamp, Etc.)	Log Loader

Cut Stock	Lumber	Veneer Products
Please indicate your experience in any of the following specialized lines.	Please indicate your experience in any of the following specialized lines.	Please indicate your experience in any of the following specialized lines.
Cut Line	Planer-Puller	Feed
Finger Jointing	Sawmill-Puller	Grade
Laminating		GVCP
Machine Operator		Lay-up
Sort/Grade/Tail-off		Machine Operator
		Patch/Putty
		Raimann

Machinist	Sheet Metal	Welding
Please indicated experience in any of the following specialties.	Please indicated experience in any of the following specialties.	Please indicated experience in any of the following specialties.
CNC Programmer	Bending/Forming	MIG
Machine Operator	CNC Programmer	Tack
Mold Maker	Cutting, Drilling, Stamping	TIG
Precision Machinist
	Shop Utility/Sandblasting/Clean-Up

Electronics	Food Processing	Laundry
Please indicated experience in any of the following specialties.	Please indicated experience in any of the following specialties.	Please indicated experience in any of the following specialties.
SMT, Circuit Board	Packaging	Machine Op
Solder	Shipping/Receiving	Sort/Fold
Testing	Sort/Grade Produce
		Quality Assurance
Printing	Sewing	Testing/Inspecting
Please indicated experience in any of the following specialties.	Please indicated experience in any of the following specialties.	Document Control
Bindery Labor	Industrial Sewing
Machine Operator/Cutter
Press Labor	Plastics	General Production/Assembly
Press Operator	Injection Mold/Die Casting	General Production/Assembly

Tape Measure

Materials Management	Pick/Pack
Inventory	Ship/Receiving
Purchasing/Forecasting	Tools/Parts Room

Dispatch CDL Class A or B	Long Haul
Bus/Van-Passenger Local Delivery

Cabinetry/Finish Carpentry Construction	Painting
Assembly/Mfg/Joining Drywall	Exterior
Counter Tops	Framing	Interior
Laminate Surfaces	Specialty
Tile	Electrician Skill Level	Paving (indicate type below)
Installation	Electrician Skill Level	Concrete
Advanced Journey	Asphalt
Utility/Assistant	Plumbing (Skill Level)
Advanced Journey
Utility/Assistant

Barista/Juice Bar Cook	Food Preparation
Cashier or Hostess Dishwasher/Clean-up	Server/Waiter
Bartender

Nursing Health Care	Animal Care
CNA or MA Public Health	Animal Control
RN or LPN Home Health Care	Kennel/Animal Care/Trainer
Veterinarian
Property Services Mental Heath
Custodian/Bldg Maint. Counselor/Crisis
Janitor/Housekeeper Psychiatrist/Psychologist
Landscape/Groundskeeper Support/Personal care
Landscape Installer
Security/Guard/Fire Watch

Accounting Receivables	Payroll
Bookkeeper Deposits	Full Cycle
Payables Medical Billing	General Ledger

Banking Commercial Bank Processing	Teller Cashier
Banking Personal Financial Advisor

Benefits Policy Development	Training
PHR or SPHR Recruiting

Claims Admin Health	Property
Agent/Assistant Liability	Workers Comp
Casualty Life

Admin Secretary General Clerical	Transcription
Executive Assistant Receptions	Legal Transcriptions
Legal Secretary Switchboard (7+ Lines)	Medical Transcriptions
Data Entry Medical Receptions

Microsoft Word	Microsoft Excel	Microsoft Outlook (Not Outlook Express)
Microsoft Power Point Microsoft Access	Quick Books

Drafter (Indicate type below)	Engineer (Indicate type below)
Architectural	BA/BS
CAD	Civil Engineer
Civil/Mapping/GIS	Computer Engineer (Indicate type below)
Electrical/Mechanical	Hardware
	Software
Tech Writer	Electrical Engineer (Indicate type below)
	MA/MS/PE
	Mechanical

Call Center	Sales
Inbound	Inside Sales
Outbound	Outside Sales
Government Sales/Contracts
Retail
Real Estate

English German	American Sign Language
French Japanese	Spanish
Chinese Other

Resume (Optional)

You must complete the employment history section above even if you are submitting a résumé. Incomplete applications will not be considered. If you do not have a resume to submit please fill in the employment history section with as much detail as possible as our system will use information from that section to generate a resume for you. Resumes are required in order to submit your information to our clients.

If you have a resume to add to this application please open your document and Copy and Paste the text from your résumé into the area below. It is best if your resume is in "Plain Text" with no special formatting, bullets or images. If you do not have a resume please leave this section blank.

I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person or entities from all liability for damages for issuing such information. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested. I will report any injury which I receive on the job to my supervisor and to Personnel Source, Inc. at the time such injury occurred. I agree to abide by the safety rules of the company and will wear and use any PPE equipment provided to me.I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time without liability to me for wages or salary except for such wages or salary which I earned prior to the date of my termination. I understand the term of my employment shall be limited to the duration of any assignment
that I accept. I am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the employer to inform me that a routine inquiry may be made that will provide applicable information concerning my character, my general reputation, my personal characteristics and my credit history. Upon written request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

I understand that I am applying for temporary or contract assignments. The completion of the this application process shall constitute a conditional offer of employment subject to my availability and the availability of customer assignments calling for the skill and qualifications that I possess, and I agree to consider acceptance of such assignments.

Please take a moment to review your application. Indicate that you have read the above statement by entering your initials in the box below. To complete this application, click on the Submit Application button.

Placing your initials in this box and submitting this form will constitute that you are electrically signing this application and are in agreement with the conditions detailed above.

Initials/Signature (Required)