DCS Employment Application Form

Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Which location are you applying for?*

VirginiaTexasGeorgiaSouth Carolina
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Phone Number*
Email*
example@example.com
This job is physically demanding with a lot of standing, bending, lifting, sweeping, rotating etc. Are there any physical limitations preventing you from doing this job? *
Do you have experience with using a pallet jack?*
Do you have experience with using a forklift?*
Do you have OSHA sanitation training?*
Why did you leave your most recent employment?*
How long did you work for this employer? (list start date to end date including the year)*
Work Experience - (Company Name, Your Title & Work Experience)*
How long did you work for this employer? (list start date to end date including the year)*
Have you ever been convicted of a felony? (Be specific)*
Please list the state, offense and year of any conviction(s). Driving offenses do not count. *
Are you a veteran?*
Which position are you interested in?
How were you referred to us?*

ReferralFacebookCraigslistLinkedInIndeedEmployee Referral
If you were referred by an employee, please type in their full name here, otherwise type N/A:*
Are any of your family members employed with DCS/LED Staffing in the state of Georgia?:*
Which days of the week are you able to work?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What type of employment are you interested in?*

Full TimePart TimeWeekends
What is your primary language?*
Resume and Files

Cancelof
Training and Certifications
References

Please list two (2) references that are familiar with your work life.
Reference*
Reference*
Should be Empty: