Job Applicant On-Line Form

This application must be completed in its entirety or it will not be processed. 
If you wish to forward a resume, you may do so by attaching a file in either Word or WordPerfect format and sending it via e-mail. We can then print it out and index it so you come up on searches for positions. 

GENERAL INFORMATION
Todays Date:
Last Name:
First Name
Address:
City:
State:
Zip Code:
Desired Wage:
(Per Hour)
Desired Annual Salary:
Type of Employment Desired
Phone #:
Beeper/Cell #:
Work #:
E-mail:
Computer Certifications:
In Case of Emergency Please Notify:

EMPLOYMENT ELIGIBILITY


 
U.S. Citizen Yes:     No:
Legally Eligible to Work in the U.S. Yes:     No:
Ever Been Convicted of a Crime Yes:     No:
If So, Please Explain:

PAST EMPLOYMENT


 
Please fill out the last three positions you have had up to the present with company name and pay rate:
Current (or last) Job Company:
Supervisor:
Rate of Pay- Indicate Hourly or Annually:
Dates Worked There:
Next Most Recent Job Company:
Supervisor:
Rate of Pay- Indicate Hourly or Annually:
Dates Worked There:
Next Most Recent Job Company:
Supervisor:
Rate of Pay- Indicate Hourly or Annually:
Dates Worked There:

References (Mandatory)


 
#1
Company:
Speak With:
Title:
Phone #:
Date Worked From:
Date Worked To:
Duties:
#2
Company:
Speak With:
Title:
Phone #:
Date Worked From:
Date Worked To:
Duties:



 
Home About Park Personnel About Park Tech On-Line Job Application Employer Order Form Job Listings
 
info@parkpersonnel.com
4A Glens Falls Technical Park • Glens Falls, NY 12801 •
(518) 761-6876 • Fax (518) 793-5661