Employment Application Form

- Applicant Information
  
  Please be sure to fill out all required fields in each section
- Name
  
  First NameMiddle InitialLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Date Available
  
  MonthDayYear
  Enter date you can begin work.
- Social Security Number
  Enter only the numbers with no dashes
- Date of Birth
  
  MonthDayYear
  Please enter the date you were born.
- Position Applied For
  For a list of current openings: https://recruitingbypaycor.com/career/CareerHome.action?clientId=8a7883d07625ee310176264282e4005d
- How did you hear about us?
- Are you a citizen of the United States?
- If No, are you authorized to work in the United States?
- Are you able to perform the essential functions of this job with or without an accommodation?
- Are you fluent in any language(s) other than English? If yes, please list them here:
- Have you ever worked for PTS Corp?
- If Yes, when?
- Have you been convicted of a felony in the last 7 years?
- If Yes, explain:
- Education
- High School
  Name of High School
- Address of High School
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- From
  
  MonthDayYear
  Date started High School
- To
  
  MonthDayYear
  Date ended High School
- Did you graduate?
- College
  Name of College Attended
- Address of College
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- From
  
  MonthDayYear
  Date started College
- To
  
  MonthDayYear
  Date ended College
- Did you graduate?
- Degree
- Other Education
  Name of other Educational Institution
- Address of Other Educational Institution
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- From
  
  MonthDayYear
  Date started
- To
  
  MonthDayYear
  Date ended
- Degree
- References
  
  Please list three professional references
- Name
  
  First NameLast Name
- Relationship
- Company
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Name
  
  First NameLast Name
- Relationship
- Company
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Name
  
  First NameLast Name
- Relationship
- Company
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Previous Employment
  
  Please list up to three previous employers
- Company
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Supervisor
- Job Title
- Starting Salary
- Ending Salary
- Responsibilities
- From
  
  MonthDayYear
  Starting date
- To
  
  MonthDayYear
  Ending date
- Reason For Leaving
- May we contact your previous supervisor for a reference?
- Company
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Supervisor
- Job Title
- Starting Salary
- Ending Salary
- Responsibilities
- From
  
  MonthDayYear
  Starting date
- To
  
  MonthDayYear
  Ending date
- Reason For Leaving
- May we contact your previous supervisor for a reference?
- Company
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Supervisor
- Job Title
- Starting Salary
- Ending Salary
- Responsibilities
- From
  
  MonthDayYear
  Starting date
- To
  
  MonthDayYear
  Ending date
- Reason For Leaving
- May we contact your previous supervisor for a reference?
- Military Service
- Did you serve in any branch of the U.S. Military?
- Branch
- From
  
  MonthDayYear
  Starting date
- To
  
  MonthDayYear
  Ending date
- Type of Discharge
- If Discharge Was Other Than Honorable, please explain:
- Upload a Resume
  
  Optional
- File Upload
  
  Acceptable formats: PDF, DOC, DOCX, TXT, RTF
  Cancelof
- Disclaimer and Signature
  
  I certify that my answers are true and complete to the best of my knowledge. I understand that by signing below, I am granting PTS Corp the authority to run a background check post job offer.If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
- Today's Date
  
  MonthDayYear
- Signature
- Should be Empty:

Applicant Information

Education

References

Previous Employment

Military Service

Upload a Resume

Disclaimer and Signature