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Full Name
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Address
Your Address
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City
City
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State
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  • Indiana
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Zipcode
Zipcode
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Email Address
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Best Contact Number
555-555-5555
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Alternate Phone Number
555-555-5555
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Have you used Labor Chaser in the Past?
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Are you age 18 or over?
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Are you legally eligible for employment in the united States?
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How much notice to you need to start a position?
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Can You Work?
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Are you currently working?
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What is the minimum hourly wage you would like contacted for?
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What type of position are you seeking?
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Shift Desired?
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Do you have a valid Drivers License?
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What will be used has your primary transportation?
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Check all items that you currently own:
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Have you ever been convicted of a crime which has not been annulled or expunged?
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Please Explain
Please be detailed about your criminal history
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Do you have any work restrictions?
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Please Explain
Please be detailed about your criminal history
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Do you have any future appointments that would conflict with your work schdule?
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Please Explain
Ask us any questions...
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High School Name
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Did You Graduate?
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College, University, and/or Trade School
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Are your currently active student in college?
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Course of Study
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Did You Graduate?
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Employment History

Uploading your resume' is completely optional. However, if you upload your resume' you will not need to fill the employment history section of the application.
Do You have a Resume?
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Upload Your Resume Here
Maximum file size of 5Mb
File Types: PDF | DOC | DOCX
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Here is a helpful link on how to save a word document as PDF file type.
Click here to read

Recent Employment History

Employer Name
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Employers Phone Number
555-555-5555
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Job Title
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Please describe your work duties
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Starting Salary:
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Ending Salary:
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Start Date
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End Date
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May we contact this employer?
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Check any that pertain to work conditions.
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Would you like to add more employment history?
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Employer Name
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Employer's Phone Number
555-555-5555
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Job Title
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Please describe your work duties
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Starting Salary:
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Ending Salary:
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Start Date
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End Date
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May we contact this employer?
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Check any that pertain to work conditions.
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Would you like to add more employment history?
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Employer Name
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Employer's Phone Number
555-555-5555
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Job Title
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Please describe your work duties
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Starting Salary:
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Ending Salary:
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Start Date
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End Date
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May we contact this employer?
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Check any that pertain to work conditions.
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If you mark yes for any question. Please put the years of experience you have in each category, if you have months of experience in a category, please round to 1 year.

Do you have Factory Experience?
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This would included but not limited to...
Assembly Line, Bench Work, Cutting Torch, Deburring, Die Casting, Fiberglass, Fin Machine Helper, Foundry Work, General Shop Helper, Glass Worker, Hand Grinder, Machine Helper, Mechanical Assembly, Sewing Experience, Soldering-Hand, Soldering-Machine. Tube Bending. Tube Pushing. Supervisor. Packing. Quality Cont-Manual. Quality Cont-Caliper. ,Quality Cont-Micrometer, Quality Cont-Uses SPC, Quality Cont-Visual, QC-Coord Measuring Mach, ,QC-Geom Toler Dimension,
Years Experience
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Do you have Welding Experience?
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This would included but not limited to...
Braze/Solder, Burner Operator, Fit Up, Fluxcore, Heliarc, MIG Welder, Spot Weld, Spray Arc, Stick Welding, A.W.S. Certified, TIG Welding, Torch/Cutters, Resistance/Induction, Aluminum Welding
Years Experience
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Do you have Metal Working Experience?
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This would included but not limited to...
Cold Roll Steel Experience, Metal Fabrication, Structural Steel Experience, Fitting, Blue print reading, Overhead crane
Years Experience
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Do you have Warehouse Experience Entry Level:?
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This would included but not limited to...
Stand-up Forklift-Cert, Forklift Oper-Certified, Forklift Oper-Non Cert, Stand-up Forklift-Non, Material Handler, Pallet Jack Operator, Shrink Wrap Machine Oper., Warehouse-General, Slip Sheet
Years Experience
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Do you have Warehouse Experience Intermediate?
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This would included but not limited to...
Stand-up Forklift-Cert, Forklift Oper-Certified, Forklift Oper-Non Cert, Stand-up Forklift-Non, Material Handler, Pallet Jack Operator, Shrink Wrap Machine Oper., Warehouse-General, Slip Sheet
Years Experience
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Do you have Printing Experience?
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This would included but not limited to...
Bindery Worker/Printing, Bulk Sorting/Printing, Collator Operator, Folding Machine Oper/Print, Inserter Operator, Laminating Machine, Line Sorting, Press Operator Helper, Press Operator/Printing, Typesetting/Design, Proofreader, 2-Color Offset, 4-Color Process, Cutter/Operator, Screen Printer, Corrugated Operator, Digital Equipment, Estimating,
Years Experience
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Do you have Shipping & Receiving Experience?
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This would included but not limited to...
C.R.T. Exp-Lite Typing, Express Mail Shipping Exp., Freight Weight Experience, International Transport Exp., Local Transport Experience, Packing/Sorting, Ship/Receive, Stats Transport Experience, UPS Shipping-On-line Exp. UPS/FedEX/LTL shipment processing
Years Experience
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Do you have Machinery Repair Experience?
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This would included but not limited to...
Mechanical, Electrical, Hydraulic, Pneumatic, Robotics
Years Experience
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If you mark yes for any question. Please put the years of experience you have in each category, if you have months of experience in a category, please round to 1 year.

Do you have Machine Operator – Metals Experience?
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This would included but not limited to...
Brake press, CNC operator, Punch press, mills, Lathes, Cut off saw
Years Experience
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Do you have Plastics Machine Operator Experience?
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This would included but not limited to...
Injection Molding, Extrusion, Roto Molding
Years Experience
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Do you have Retail Experience?
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This would included but not limited to...
Computer Inventory, Expeditor, Factory Stock Room, Kardex Inventory, Physical Inventory, Retail Stock Room, Warehouse Stock Room
Years Experience
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Do you have Food Service Experience?
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This would included but not limited to...
Baker, Cafeteria, Cashier-Food Service, Cook, Dishwasher, Fast Food, Food Server, Food Service General, Hotel Experience, Salad Prep
Years Experience
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Do you have Driving Experience?
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This would included but not limited to...
Baker, Cafeteria, Cashier-Food Service, Cook, Dishwasher, Fast Food, Food Server, Food Service General, Hotel Experience, Salad Prep
Years Experience
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Do you have Healthcare Providers and/or Support Staff Experience?
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This would included but not limited to...
RN, CNA, specialty health care
Years Experience
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Do you have Engineering Experience?
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This would included but not limited to...
Mechanical, Electrical, Architectural, Process, Chemical, CAD/CAM Drafting
Years Experience
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Do you have Tool & Die Experience?
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This would included but not limited to...
Machinists, Journeyman, Machine Set Up, Blue Prints
Years Experience
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If you mark yes for any question. Please put the years of experience you have in each category, if you have months of experience in a category, please round to 1 year.

Do you have Construction Experience?
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This would included but not limited to...
Commercial/Residential, Drywall, Carpentry, Heavy Equipment Operation, Roofing, Masonry
Years Experience
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Do you have Building Maintenance Experience?
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This would included but not limited to...
Janitorial, Handyman Repairs Etc.
Years Experience
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Do you have Woodworking Experience?
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This would included but not limited to...
CNC Router, Table/Band Saw, Cabinet Making, Power Tools, Furniture Mfg.
Years Experience
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Do you have Commercial/Residential Painting Experience?
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This would included but not limited to...
Brush, Spray, Inside Finishing, Outside Painting
Years Experience
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Do you have Industrial Painting Experience?
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This would included but not limited to...
Powder Coating, Industrial Painting, Electrostatic
Years Experience
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Do you have Electrical/Plumbing Experience?
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This would included but not limited to...
HVAC, Residential/Commercial Electrical Or Plumbing
Years Experience
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Do you have Hospitality Experience?
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This would included but not limited to...
Laundry, Motel/Hotel Housekeeping, Cleaning
Years Experience
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Do you have Agriculture / Farm Experience?
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This would included but not limited to...
General Farm Labor, Greenhouse Work
Years Experience
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Do you have Automotive Experience?
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This would included but not limited to...
Mechanic, Auto Body, Diesel, 12-Volt, Stereo Wiring
Years Experience
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If you mark yes for any question. Please put the years of experience you have in each category, if you have months of experience in a category, please round to 1 year.

Do you have General Office Experience?
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This would included but not limited to...
Receptionist, Secretary, Data Entry Clerk
Years Experience
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Do you have experience using Office Tools?
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This would included but not limited to...
Fax, Email, Excel, Word, Multi-Line Phone
Years Experience
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Do you have Accounting Experience?
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This would included but not limited to...
Accounts Payable, Accounts Receivable, Bookkeeping
Years Experience
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Do you have Customer Service Experience?
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This would included but not limited to...
CSR
Years Experience
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Do you have Sales Experience?
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This would included but not limited to...
Inside Sales, Outside Sales, Commission Sales
Years Experience
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Do you have Management Experience?
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This would included but not limited to...
Office Management, Supervisors, Operations Management
Years Experience
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Do you have Human Resources Experience?
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This would included but not limited to...
Recruiters, HR Professionals, Policy And Compliance
Years Experience
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Do you have Marketing Experience?
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This would included but not limited to...
Social Media Marketing, Advertisement, Cold Calling
Years Experience
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Do you have Software/Technology Development Experience?
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This would included but not limited to...
Website Development, SEO, Mobile Application Development
Years Experience
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Required Tax Documents

Federal

Step 1 :

Click on the 2021 W4 Form to open the Tax Document.


Step 2 :

Fill in form with your information.


Step 3 :

In the upper left top menu. Select the down arrow SAVE WITH CHANGES.click Save
If you are using Microsoft Edge browser. Click on the Disk


Step 4 :

Upload newly saved document to dedicated spot on right.

If you are using and IPhone or Ipad. You must have Adobe Acrobat installed.Click To Adobe Acrobat Reader

Upload 2021-W4-Form
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Please type your Initials to confirm document.
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State

Step 1 :

Click on the 2021 Indiana WH4 Form to open the Tax Document.


Step 2 :

Fill in form with your information.


Step 3 :

In the upper left top menu. Select the down arrow SAVE WITH CHANGES.click Save
If you are using Microsoft Edge browser. Click on the Disk


Step 4 :

Upload newly saved document to dedicated spot on right.

If you are using and IPhone or Ipad. You must have Adobe Acrobat installed.Click To Adobe Acrobat Reader

Upload Indiana WH4 Form
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Please type your Initials to confirm document.
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I-9-Employment Eligibility Verification

Step 1 :

Click on the I-9 Employment Eligibility Verification Form to open the Document.


Step 2 :

Fill in form with your information.


Step 3 :

In the upper left top menu. Select the down arrow SAVE WITH CHANGES.click Save
If you are using Microsoft Edge browser. Click on the Disk


Step 4 :

Upload newly saved document to dedicated spot on right.

If you are using and IPhone or Ipad. You must have Adobe Acrobat installed.Click To Adobe Acrobat Reader

Upload Indiana I9 Form
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Please type your Initials to confirm document.
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Aptitude and Skills Test

General Math

1. 50 + 66 =

Type Answer Here
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2. 464 + 439 =

Type Answer Here
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3. 9875 + 4325 =

Type Answer Here
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4. 8765 + 582 + 21 =

Type Answer Here
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4. 824 x 93 =

Type Answer Here
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Field is required!

4. 64 / 4 =

Type Answer Here
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Field is required!

5. 53 - 27 =

Type Answer Here
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Field is required!

6. 57 - 23 =

Type Answer Here
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7. 622 - 357 =

Type Answer Here
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8. 8795 - 948 = =

Type Answer Here
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9. 37 x 5 =

Type Answer Here
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8. 576 / 8

Type Answer Here
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8. 595 / 17 =

Type Answer Here
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Please select which letter correctly marks 3/4"

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Field is required!

Please select which letter correctly marks 1 1/4"

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Field is required!

Please select which letter correctly marks 2 1/2"

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TERMS AND CONDITIONS

"I understand that if I am offered and accept a job, the company reserves and retains the right to make such changes in the terms and conditions of my employment as the company determines to be necessary or appropriate."

"I understand and agree that my future employment is not for any guaranteed length of time and that both the company and I have the freedom to terminate the employment relationship whenever either chooses to do so."



APPLICANT'S AUTHORIZATION TO RELEASE INFORMATION

It is important that each item on this application is correctly and completely answered. False information, misrepresentation or omissions of act, with respect to any part of or item on this application, may be cause for rejection, or for dismissal if employed.


While processing my application, I authorize Tower Staffing,Inc and its Agents to contact schools, employers, references, and organizations to conduct a background investigation, and to obtain a credit report. I further authorize such persons to provide Tower Staffing,Inc and its Agents with all relevant information necessary to process my application.


By choosing "I Agree" and typing my Initials, I affirm that all statements made are true, and misrepresentation of facts will subject me to immediate rejection, or for dismissal if employed. I also consent to a controlled substance screening test and give my consent for all information obtained as a result of any medical examination and all other relevant medical information to be released to Tower Staffing,Inc and its Agents for the employer's use only.


NOTICE AND AUTHORIZATION TO OBTAIN CRIMINAL BACKGROUND CHECK FOR EMPLOYMENT PURPOSES

As a condition of application for employment and employment by Tower Staffing,Inc, Inc. (“Tower Staffing,Inc”), I acknowledge and agree that Tower Staffing,Inc, or a third party on behalf of Tower Staffing,Inc, may obtain a criminal background check about me at any time during my employment with Tower Staffing,Inc.


The types of information that may be ordered include but are not limited to: Social Security number verification; criminal, public, educational and, as appropriate, driving records checks; verification of prior employment; reference, licensing and certification checks; credit reports; and drug testing results.

The results of this criminal background check may include written, oral, or other information about my character, general reputation, personal characteristics and mode of living. The information may be obtained from private and public record sources, including personal interviews of past or present employers, business or personal acquaintances, or others who may have knowledge concerning this information. I understand that Tower Staffing,Inc will use the information contained in these reports as a factor in determining my eligibility for employment and, if I become an employee, in determining my continued employment.

Because a criminal background check is considered an “investigative consumer report,” I understand that Tower Staffing,Inc will, upon my written request made within a reasonable period of time after my receipt of this document, make a complete and accurate disclosure to me of the nature and scope of the investigation requested. I also acknowledge that I have received the accompanying document entitled “A Summary of Your Rights Under the Fair Credit Reporting Act.


AUTHORIZATION

I acknowledge that I have read and understand this Notice and Authorization and A Summary of Your Rights Under the Fair Credit Reporting Act.

I hereby authorize Tower Staffing,Inc to obtain a criminal background check about me. Similarly, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, credit bureau or employer to furnish any and all background information requested by any consumer reporting agency acting on behalf of Tower Staffing,Inc. I also agree that a facsimile (“fax”) or photographic copy of this Authorization shall be as valid as the original.


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Please type your Initials
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Tower Staffing, Inc-Substance Abuse Policy

Tower Staffing,Inc, Inc. has a policy regarding drug and alcohol abuse. All associates are required to report to work free of alcohol, drugs or the misuse of any medication. Associates are expected to discourage fellow employees from violating this policy and are expected to cooperate in Tower Staffing,Inc's efforts to maintain a drug free/alcohol free workplace. Employees are also expected to cooperate in any investigation of the violation of this policy. Presence, use, possession, marketing, selling, distribution, dispensation, or being under the influence of alcohol or drugs or other controlled substances or the misuse of medication on Tower Staffing,Inc, Inc. property or on the property of any company the associate is placed at is strictly prohibited.

As a condition of employment, all employees agree to abide by the terms of this policy. Refusing to submit to an alcohol or drug test will result in immediate termination of employment. I fully understand and agree that I may be required, as an employee of Tower Staffing,Inc, Inc. to submit to drug or alcohol testing at any time during my term of employment with Tower Staffing,Inc, Inc. Refusal to submit to these tests will result in my immediate termination.

I also understand if my test is found to be positive for drugs and/or alcohol it will result in my immediate termination of employment with Tower Staffing,Inc, Inc. I further agree that in the event I test positive for drugs and/or alcohol I will reimburse Tower Staffing,Inc for the cost incurred for such testing.


Tower Staffing, Inc-Health and Safety Policy

It is the intent and policy of Labor Chaser, Inc. to provide every associate with a safe and healthful place to work; to insist that all associates use safe and healthful work practices and procedures; and to comply with applicable health and safety standards. Expediency and shortcuts will not take precedence over safety. We truly believe that all occupational injuries and illnesses can be prevented.

It is the responsibility of each employee to make safety the first consideration in every task. Each employee is expected to follow and strive to improve safe work methods and procedures. All associates also have the responsibility to conduct their activities in such a manner that not only ensures their personal safety, but that of their fellow associates as well.

To this end, Labor Chaser, Inc. mandates that each associate employed by us will com- ply with all safety guidelines set by each Company each associate is placed at. Safety equipment must be worn at all times with no exceptions. No compromises-any day, any time, for any reason, by any person---ever!

This is a condition of placement at Labor Chaser, Inc. Anyone operating in an unsafe manner will be subject to discipline, up to and including termination of employment.

Tower Staffing, Inc-Harassment Policy

Tower Staffing,Inc, Inc. is committed to providing a workplace free of sexual harassment as well as harassment based on race, color, religion, national origin, ancestry, age, disability, or any other characteristics protected from discrimination by law. Tower Staffing,Inc, Inc. strongly disapproves of and will not tolerate any such harassment of its employees.

All employees should, therefore, be aware of the following:
• Sexual harassment is strictly prohibited. Sexual harassment includes unwelcome sexual advances, requests for sexual favors, unwelcome or offensive touching, verbal conduct such as sexual jokes or suggestive or obscene comments, written or graphic materials, such as sexually suggestive or obscene documents, pictures, cartoons or photos, as well as any other conduct of a sexual nature, whether written, verbal, or physical.

• Harassment on the basis of any other category protected by law is also strictly prohibited. Under this policy, harassment is conduct that insults, shows hostility towards or makes fun of an individual or group because of his/her race, color, religion, sex, national origin, ancestry, age, disability or any other category protected by law. This includes, but is not limited to, jokes, comments, slurs, epithets, gestures, posters, cartoons, pictures, drawings, and e-mails.

• All employees are strictly prohibited from sending electronic messages during work time or on Company time, whether Tower Staffing,Inc/or where the associate is placed, which contains offensive material related to sex, race, or other protected categories. Similarly, employees who have access to the internet are strictly prohibited from using the internet during work time or while using company equipment to access the internet sites which contain offensive materials related to sex, race or
other protected categories.

• This prohibition against harassment applies to all employees, including supervisors
and managers, as well as visitors and other non-employees.

• The protections and obligations of this policy apply to all employees as well as to persons assigned to work for Tower Staffing,Inc, Inc. as an Employee.


Tower Staffing Information Sheet

In order to serve you (as our employee) and our clients for whom we work. Please read this page. A downloadable is also available for your information.

Your Responsibilities


  • Report Work Promptly

  • Work to the best of your ability with a good work attitude.

  • Complete your assignment and call us immediately.

  • Promptly call appropriate Tower Staffing,Inc office if you cannot report to work

  • Call us with any questions or concerns relating to your assignment

  • Report any work related injuries within 24 hours to our office, or you will jeopardize payment of same.

  • Send your completed timecard to us immediately at the end of each week. Time Cards due no later Monday P.M.


No show or no call will result in automatic termination.



Please initial by each box below acknowledging you have read & understand the following documents.
Tower Staffing, Inc. Employee Policies
Your Initials
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Tower Staffing, Inc. Work Related Injuries Information Sheet.
Your Initials
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Whatever it can to assist with placement. Tower Staffing,Inc, Inc. in no way guarantees placement of employment. You are to work as directed.

Your failure to do so will be considered insubordination and result in your immediate termination. Also, Tower Staffing,Inc can end or terminate your assignment/placement at its discretion for any given reason.

It is your responsibility to be at work on time. Tower Staffing,Inc, Inc. has a very strict no call no show policy. If you no call no show for a job assignment or walk off of a job assignment, regardless of the circumstances, your employment will be immediately be terminated. You will no longer be eligible for any employment through Tower Staffing,Inc, Inc.

ATTENDANCE & BEING ON TIME TO WORK ARE EXTREMELY IMPORTANT! Multiple absences and tardies will also result in termination, at Tower Staffing,Inc, Inc.’s sole discretion. Do not be late, or absent if at all possible. If you are absent from work we must receive a call from you. Tower Staffing,Inc, Inc. can be reached at (260)483-7085. Some Job Assignments also require you to call them. Please make sure you understand the policies of the company you are assigned to. You must call 2 hours prior to the start of your scheduled shift. Time cards are due to Tower Staffing,Inc, Inc. each Monday morning. I have received my safety hand-outs. I fully have read pages one through five of the hand out and fully understand.