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  • Formulario de solicitud de empleo

  • WORKFORCE 52 LLC

  • Fecha de solicitud:*
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  • Fecha de nacimiento:*
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  • Format: (000) 000-0000.
  • Educación y formación

  • ¿Tiene alguna certificación, curso o entrenamiento especial?
  • Historial de último empleo

  • Fecha de inicio:
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  • Fecha de finalización:
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  • Confirmo que mis respuestas son honestas y completas, entendiendo que proporcionar información inexacta puede dar lugar al despido si soy empleado.
  • ESTADO DE SALUD Y HÁBITOS PERSONALES

  • Persona de contacto en caso de emergencia

  • Format: (000) 000-0000.
  • Confirmo que mis respuestas son honestas y completas, entendiendo que proporcionar información inexacta puede dar lugar al despido si soy empleado.
  • Exhibit B

  • Benefits Waiver for Assigned Employees

  • Agreement and Waiver

  • In consideration of my assignment to CLIENT by STAFFING FIRM, I agree that I am solely an employee of STAFFING FIRM for benefits plan purposes and that I am eligible only for such benefits as STAFFING FIRM may offer to me as its employee. I further understand and agree that I am not eligible for or entitled to participate in or make any claim upon any benefit plan, policy, or practice offered by CLIENT, its parents, affiliates, subsidiaries, or successors to any of their direct employees, regardless of the length of my assignment to CLIENT by STAFFING FIRM and regardless of whether I am held to be a common-law employee of CLIENT for any purpose; and therefore, with full knowledge and understanding, I hereby expressly waive any daim or right that I may have, now or in the future, to such benefits and agree not to make any claim for such benefits.
  • Exhibit C

  • Confidentiality Agreement for Assigned Employees

  • As a condition of my assignment by STAFFING FIRM to CLIENT, I hereby agree as follows: Assigned Employee Confidentiality AgreementAs a condition of my assignment by STAFFING FIRM to CLIENT, I hereby agree as follows:I will not use, disclose, or in any way reveal or disseminate to unauthorized parties any information I gain through contact with materials or documents that are made available through my assignment at CLIENT or which I learn about during such assignment. I will not disclose or in any way reveal or disseminate any information pertaining to CLIENT or its operating methods and procedures that come to my attention as a result of this assignment. Under no circumstances will I remove physical or electronic documents or copies of documents from the premises of CLIENT.

    I understand that I will be responsible for any direct or consequential damages resulting from any violation of this Agreement.

    The obligations of this Agreement will survive my employment by STAFFING FIRM.

  • Fecha*
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