OFFICE Number: 833-743-0381 OFFICE FAX Number: 865-220-1709
Is your license under investigation for any reasons? Y_N_
Are you a convict felon or do you have any charges on your background currently? Y_N_ If so:
Do you have a high school diploma or G.E.D?Y N What School/Institution?
What the highest level of education do you have?
Can you provide a background check from your local law office? Yes No Why Not?
Can you submit to random drug screening?Yes_No_Why Not?
Do you have reliable transportation to and from work? Bus/Car/Walking/ /Car Services/Biking
Which car service if using? Uber
Can you lift 30lbs. or more? Yes No Why Not?
Do you have any medical condition preventing you from doing this job?
Do you have any medical conditions that you need to be accommodated?
How would you like your check?
Please understand we are a staffing firm you choose your hour. If shifts are available, you may
work them. Please attach resume.