Installation/Strike Staffing Confirmation Form

Section 1 - Confirmation
Full Name*

First NameLast Name
E-mail*
Please confirm or decline working for the 2016/2017 Holiday Image season.*

Yes - Confirmed - I would like to work for 2016/2017 season.No - Decline - I would NOT like to work for the 2016/2017 season.

Section 5 - Availablilty
Please select all shifts and holidays that you are available to work.*

Weekday - Day TimeWeekday - OvernightsWeekend - Day TimeWeekend - OvernightsThanksgiving DayThanksgiving EveNew Years Eve
Are there any dates during October 15, 2016 - February 1, 2017 that you are not available? If so please indicate below.

Section 7 - Refer a Friend
If you know anyone that would be a good fit and is available to work for the 2016/2017 installation/removal season please provide their contact information here.
Friend 1

First NameLast Name
Friend 1 - Phone Number

Area CodePhone Number
Friend 1 - E-mail
Friend 2

First NameLast Name
Friend 2 - Phone Number

Area CodePhone Number
Friend 2 - E-mail

Section 8 - References
If you are a New seasonal employee, please indicate 3 professional work references below.

If you are a returning employee please skip this section.
Reference 1 Name

First NameLast Name
Reference 1 Title
Reference 1 Company name
Reference 1 Phone Number

Area CodePhone Number
Reference 1 E-mail
Reference 2 Name

First NameLast Name
Reference 2 Title
Reference 2 Company name
Reference 2 Phone Number

Area CodePhone Number
Reference 2 E-mail

Section 9 - Holiday Image Seasonal Policy
Please click on the link below and read through the Holiday Image LLC Seasonal Employee Policy which includes the new pay rate structure.

SEASONAL EMPLOYEE POLICY

Once you have read through the policy please electronically sign below that you have received and understand these policies.
I have received a copy of Holiday Image’s Seasonal Employee Policy. I understand it is my responsibility to read the policy, become familiar with, and abide by its contents. I agree to read it thoroughly and abide by the Manual’s requirements. I agree that if there is any provision of the Manual that I do not understand, I will seek clarification from Human Resources.

Furthermore, I acknowledge the pay rate structure set forth in this document.
By typing your name below you are confirming you have received, read and understand the Seasonal Employee Policy as well as the pay rate structure set forth. *

First NameLast Name

Section 10 - Warehouse work
Are you interested in working in the Holiday Image LLC warehouse located in Harrison, NJ during the months of September & October if no installation are happening. (Pay Rate is $10/hr)*

YesNo

Installation & Removal Staffing Confirmation Form