MANUFACTURING AND LIGHT INDUSTRIAL
L2 Placement Pros, Inc.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Security Number
*
Date of birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
Desired Pay
*
Have you ever been convicted of a Felony?
*
Yes
No
Are you at least 18 years old?
*
Yes
No
Authorized to work in the U.S.?
*
Yes
No
Preferred Shift (check all that apply)
*
Day
Evening
Night
Able to stand for long periods?
*
Yes
No
Comfortable working in Hot environments?
*
Yes
No
Able to lift required weight?
*
Yes
No
Previous manufacturing or food production experience (brief):
*
Previous manufacturing or food production experience (brief):
*
Applicant Name
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: