Current or Most Recent PositionCompany Name: Name* Employment Dates (Mo/Yr): From: Month/Year* To:Month/Year* .Salary $* Bonus/OT $* Your Position Position* What does the company do? Company* Size (# of employees/revenue in $) Size of previous company / revenue* Major Accomplishments: Major Accomplishments* Reason for leaving: Reason for leaving* Supervisor's name: First Name* Last Name* Supervisor's Phone Number: Area Code* Phone Number*
Next Most Recent Position 2Company Name: Name* Employment Dates (Mo/Yr): From: Month/Year* To:Month/Year* .Salary $* Bonus/OT $* Your Position Position* What does the company do? Company* Size (# of employees/revenue in $) Size of previous company / revenue* Major Accomplishments: Major Accomplishments* Reason for leaving: Reason for leaving* Supervisor's name: First Name* Last Name* Supervisor's Phone Number: Area Code* Phone Number*
Next Recent Position 3Company Name: Name Employment Dates (Mo/Yr): From: Month/Year To:Month/Year .Salary $ Bonus/OT $ Your Position Position What does the company do? Company Size (# of employees/revenue in $) Size of previous company / revenue Major Accomplishments: Major Accomplishments Reason for leaving: Reason for leaving Supervisor's name: First Name Last Name Supervisor's Phone Number: Area Code Phone Number
Next Recent Position 4Company Name: Name Employment Dates (Mo/Yr): From: Month/Year To:Month/Year .Salary $ Bonus/OT $ Your Position Position What does the company do? Company Size (# of employees/revenue in $) Size of previous company / revenue Major Accomplishments: Major Accomplishments Reason for leaving: Reason for leaving Supervisor's name: First Name Last Name Supervisor's Phone Number: Area Code Phone Number
General QuestionsAre you a smoker non-smoker* Have you ever been convicted of a felony? Yes No* If yes explain:Explain* Preferred location Location* Foreign Languages Languages* Type of position desired Type of Position*
High School/ GEDName of School School Location Location# Hours Completed Number Major or Degree Received Major GPA GPA College/UniversityName of School School Location Location # Hours Completed Hours Major or Degree Received Major GPA GPA College/UniversityName of School School Location Location # Hours Completed Hours Major or Degree Received Major GPA GPA CertificatesName of School School Location Location # Hours Completed Hours Major or Degree Received Major GPA GPA OtherName of School School Location Location # Hours Completed Hours Major or Degree Received Major GPA GPA
AUTHORIZATION FOR RELEASE INFORMATION
In connection with my application for employment through Bretthauer-Ramirez Staffing I, First Name* Last Name* , hereby authorize Bretthauer-Ramirez Staffing and any of its officers, agents, employees, and servants to solicit all relevant information with regard to this application. This authorization for release of information includes, but is not limited to, matters of opinion relating to my character, ability, reputation, and past conduct. I authorize and request any persons, schools, companies, corporations, credit bureaus and law enforcement agencies to release such information to Bretthauer-Ramirez Staffing without restriction or qualification. I voluntarily waive all recourse and release them from liability for complying with this authorization.
Date of birth (Month/Day) Month/Day*