Clerical App - Tower Staffing Inc.

Name:*

First

Last

Middle

Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip Code

Phone:*

Area Code

-

Phone Number

Other Phone :*

Area Code

-

Phone Number

E-mail :*

I have used Tower Staffing, Inc. in the past :

yes

Have you ever been convicted of a crime? :*

yes

no

If yes, please explain below :

Current or most recent employer:

Job title :

Start date:

End date:

Reason for leaving? :

Starting Salary :

Ending Salary :

Description of your duties :

Name of Supervisor :

Phone # for Supervisor :

Area Code

-

Phone Number

May we contact them? :

yes

no

Next most recent employer:

Job title:

Starting date:

Ending date:

Reason for leaving?:

Starting Salary:

Ending Salary:

Description of your duties:

Name of Supervisor:

Phone # for Supervisor:

Area Code

-

Phone Number

May we contact them?:

yes

no

Check any that pertain to your current work conditions :

Can lift over 75 lbs

Can lift over 50 lbs

No lifting over 30 lbs

Accounting:

Advertising/PR:

Aerospace:

Agriculture:

Airlines:

Architectural:

Automobile:

Avionics:

Chemical:

Communications:

Comp./Data Processing:

Construction:

Credit:

Credit Union:

Dental:

Education:

Electronics:

Fast Food:

Government:

Banking/Bank:

Banking/Credit:

Banking/Mortgage:

Banking/Sav. & Loan:

Insurance- General

Insurance- Casualty:

Insurance- Commercial:

Insurance- Health:

Insurance- Life:

Insurance- Medical:

Insurance- Medicare:

Insurance- Work Comp.:

Legal- General:

Legal- Civil:

Legal- Domestic:

Legal- Subrogation:

Engineering:

Freight:

Hotel Experience:

Printing & Publishing:

Property Management:

Purchasing:

Real Estate:

Religious:

Research & Dev.:

Restaurant:

Shipping/ Freight:

Transportation:

Trucking:

Telecommunications:

Video:

Legal- Criminal:

Labor Union:

Library:

Manufacturing:

Finance:

Food & Beverage:

Marketing:

Media (TV, Radio, etc.):

Medical:

Military:

Oil & Gas:

Personnel:

Photography:

Retail:

Sales Background:

Stock/Investment:

Service Industry:

Travel Agency:

Utilities:

Legal- Corporate:

Legal- Litigation:

Legal- Personal Injury:

Legal- Real Estate:

Journalism:

Compose Letters:

Dictaphone Exp.-Heavy:

Dictaphone Exp.-Light:

Medical Transportation:

No Office Experience:

Secretary- Accounting:

Secretary- Cert. Legal:

Secretary- Cert. Medical:

Secretary- Cert. Pro.:

Secretary- Legal:

Secretary- Marketing:

Secretary- Medical:

Secretary- Purchasing:

Secretary- Sales:

Secretary- Shorthand:

Types- Bill of Landing:

Types- Correspondence:

Types- Invoices:

Secretary- Engineering:

Types- Purchase Orders:

Types- Reports:

Typewriter:

Typing- Light:

Typing- Statistical:

Typing- Straight Copy:

Typing- Technical:

Types- Lease Agreements:

Types- Legal Documents:

Types- Manuscripts:

Types- Medical Forms:

Types- Multiple Carbons:

Types- Numbers:

Types- Policies:

Types- Proposals/Quot.:

Types- Envelopes/Forms:

Types- Insurance Policies:

Secretary- Executive:

Calligraphy:

Claims Clerk:

Coding Clerk:

Copy Machine:

Copy Machine- Print Cen.:

Copy Machine- Blueprint:

Electronic Billing:

Filing- Alpha:

Filing- Numeric:

Filing System Design:

General Office Skills:

Insurance Claims Clerk:

Credit Bureau Exp.:

Ditto Machine:

Run Errands:

Stuffing/Folding Clerk:

Video Equip. Operator:

Good Handwriting:

Good Printing:

Good with Detail:

Inventory Clerk:

Light Labor Clerk:

Loan Clerk:

Lock Box Clerk:

Medical Claims Clerk:

Proofreader:

Recordkeeper:

ADP:

AS/400 System Software:

Desktop Pub./Graphics:

MAS 90 GL Acct. Soft.:

Microsoft Word:

PageMaker:

Peachtree:

Harvard Graphics/Win.:

Hewlett Packward WP:

Microsoft Excel:

Typesetting:

WordPerfect:

Microsoft Works:

Office Writer:

Lotus 1-2-3:

Paradox:

Microsoft PowerPoint:

Quicken:

Norton Utilities:

Novell:

PC DOS 5.0:

CRT- Alpha:

CRT- Numeric:

Microsoft Windows 3.0:

Mouse Experience:

CRT- Entry:

Keyboard 10-Key:

Macintosh Computer:

Proof Operator:

Programmer:

Laser Printer:

E-Mail Communications:

Receptionist- Medical:

Telemarketing:

Fax Machine:

Receptionist- Relief:

Receptionist- Dental:

Receptionist- Full-Time:

Receptionist- General:

Auditor:

Bank Teller:

BKKP-AP/Computer:

BKKP-AR/Computer:

BKKP-AR/Manual:

Budget Analysis:

Payroll- Hourly:

Payroll- Manual:

Payroll-26-100 Emp.:

Payroll->100 Emp.:

Taxes-Payroll:

Taxes-State Filings:

Cashier Accounting:

Cash Register:

Payroll- General:

Billing Clerk:

Postage Machine Oper.:

Proof Operator :

Spreadsheet Knowledge:

Taxes- Multistate Filings:

Uses 10-Key by Touch:

Accountant:

Accountant Clerk:

Cash Management:

Collections:

Credit :

Electronic Calculator:

Financial Analyst:

Fixed Assets Acct.:

Good with Numbers:

Inventory Accounting:

Bulk Mail Sorting:

Burster Machine Oper.:

Collator Operator:

Computer Inventory:

Warehouse Stock Room:

Expeditor:

Factory Stock Room:

Postal Regulations:

Retail Stock Room:

Folding Machine Oper.

Mail Clerk.

Mail-File Sorting:

Postage Machine Oper. :

Admitting Clerk:

Child Care Experience:

Customer Service:

Medical Assistant:

Emergency Med. Tech.:

Underwriter:

Nursing Assistant- Cert.:

Messenger/Delivery:

Dispatcher:

Drafting:

Management:

Sales- Inside:

Waiter/Waitress:

Notary:

One-Person Office:

Paralegal:

Public Relations:

Sales-Outside:

Supervisor:

Teacher:

Technical Writer:

Training & Development:

Travel Arrangements:

I AGREE*

INITIALS : *