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Metrix Staffing Employment Application

First Name*
Please let us know your name.

Last Name*
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Your Email*
Please let us know your email address.

Contact Phone*
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Street Address*
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City*
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State
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Zip Code*
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What position are you applying for?*
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What job are you interested in?
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DRIVER'S LICENSE INFORMATION

Do you have a valid driver's license?
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Has your driver's license been suspended or put on probation in the last 5 years?*
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EDUCATION HISTORY

High School Name
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Location
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Did you earn a degree?
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Did you attend college or university?
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College/University Name
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Major or Degree Program
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Do you have any professional licenses or certifications?
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EMPLOYMENT HISTORY

Is this your first job?
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Employer Name
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Company Location
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Position
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Employed from (mm/yy) to (mm/yy)
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Currently employed there?
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OK to contact?
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Contact Phone
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Reason for leaving?
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Add another job?
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Employer Name
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Company Location
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Position
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Employed from (mm/yy) to (mm/yy)
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Contact Phone
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Add another job?
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Employer Name
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Company Location
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Position
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Employed from (mm/yy) to (mm/yy)
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Contact Phone
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PROFESSIONAL REFERENCES

Reference Name
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Contact Phone
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Relationship
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Reference Name
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Contact Phone
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Relationship
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Reference Name
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Contact Phone
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Relationship
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ADDITIONAL INFORMATION

Are you 18 or older?*
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Are you a US Veteran?*
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Have you ever been discharged or asked to resign from employment?*
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Please explain.
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Have you ever been convicted of a crime?*
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Please explain.
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Have you worked for the Grimes Companies or Metrix Staffing before?*
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Please explain.
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Do you have experience operating a forklift?*
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Are you willing to work nights?*
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I certify that I have read, understand and agree with the above.
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Today's Date
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Your Signature (Type Name)
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UPLOAD YOUR RESUME

Upload Resume?
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Work with Us » Call Metrix Staffing at 904-783-2646