Application

New Hire Paperwork
Name*

First NameMiddle NameLast Name
What Position are you Applying for?*
Type ANY if open
Social Security Number*
Phone Number
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date available to start work

MonthDayYear
Date
What is the minimum hourly rate you can accept?
Have you ever worked for Accent Staffing?*

YesNo
What days can you work?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What Shift can you work?

1st Shift (Mornings)2nd Shift (Midday)3rd Shift (Overnights)
What type of employement are you interested in?

PermanentFull-timePart-timeShort-term
Have you ever been convicted of a Felony?

YesNo
What is the name of the high school you attended? Name of High School What city and state was it in? City/State Did you graduate and if so what year? Year you graduated
What is the name of any colleges you attended? Name of College What city and state was in located in? City/State What did you study? Major Did you graduate and if so, what year? Year you graduated

Employment History

Shield Questionnaire Regarding your Consumer Report
In order to obtain the most accurate information, this questionaire helps Accent Staffing to better identify information that does or does not relate to you. This document will not become a part of your personnel file, if hired.
SS Number
Full Legal Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Gender

MaleFemale
Race
Driver's License Number
State of Issue

Last 3 years of residential history

Employment History

Name

First NameMiddle NameLast Name
Signature

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Date

MonthDayYear
Date
Type a question
Can you describe the types of work environments where you’ve been most productive and satisfied?
Type a question
How do you handle situations where the job requirements differ slightly from your expectations?
Type a question
How do you prioritize tasks and manage deadlines, especially in fast-paced roles?
Type a question
What are your long-term career goals, and how can this role help you achieve them?
Type a question
What skills or experiences make you uniquely qualified for the roles you’re seeking?
Type a question
Do you have any questions about the expectations or process for working with our agency
Should be Empty:

PLEASE CHECK ALL SKILLS YOU HAVE DONE FOR AN EMPLOYER