Choice Staffing

Your Name: *


Date: *


Your Email: *


Your Phone Number: *


Address: *


Are you a Resident of the USA?
Yes No

If No, are you legally entitled to work in USA?
Yes No

Position(s) Applying For: *


Date you are available for employment:


Wage or Salary Desired:


Have you worked for CSI, Inc. before? *
Yes No

If yes, when and where?


Have you ever had Security clearance? *
Yes No

If yes, briefly describe:


Have you ever been convicted of a felony? *
Yes No

Highest level of education completed: *


Name of educational institute:


What machines or equipment have you operated which relate to the position you have applied for?


Are there any skills. experience, or other qualifications which you feel would assist you in performing the duties of the position you have applied for?


List below your last three employers, starting with the most recent

Employer's Name:


Start Date:


Departure Date:


Reason for Departure:


Supervisor's Name:


Telephone Number: *


Position(s) Held:


Duties:


May we contact this employer? *
Yes No

If not, state brief reason:


Employer's Name:


Start Date:


Departure Date:


Reason for Departure:


Supervisor's Name:


Telephone Number:


Position(s) Held:


Duties:


May we contact this employer? *
Yes No

If not, state brief reason:


Employer's Name:


Start Date:


Departure Date:


Reason for Departure:


Supervisor's Name:


Telephone Number:


Position(s) Held:


Duties:


May we contact this employer? *
Yes No

If not, state brief reason


Do you have a valid driver's license? *
Yes No

Expiration:


State: