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Legal First Name

Middle Name

Last Name

SSN

Position Desired

DOB

Salary Desired

Street Address

Phone Number

Email

Emergency Contact Name & Phone Number

Date Available

Zip

City

State

Marital status

If required, are you willing and able to lift 10, 20 ,30, 45-50 lbs.

How often are you able to lift that amount

What Days are you willing to work (Mon-Sun)

Are you legally eligible for employment in the U.S?

YesNo

College Degree

Are you 18 years of age or older

YesNo

How did you learn about Unify Staffing? Indeed, LinkedIn, Social Media, Friend, or Employee

Do you have reliable transportation

YesNo

As a condition of employment, would you submit to a drug test for use of illegal drugs

Yesno

Is there any reason you cannot perform the functions of the job for which you are applying for, with or without reasonable accommodations?

YesNo

If yes, Please explain:

Are You Currently Employed

YesNo

Are You Willing To Work Overtime

Yes No

Available to work Weekends?

Yes No

Available to work any shift?

Military Service: have you obtained any special skills/ abelites the result of service in the Military

Yes No

If yes, please explain

Have you Received Covid-19 Vaccinations

YesNo

Have you been in contact with anyone longer than 15 minutes in close proximity that has tested positive for Covid-19

YesNo

Have you had any of the following symptoms in the last 15 days ( cough, shortness of breath, fever/chills, headache, sore throat, or loss of taste and smell.

YesNo

Have you filed an unemployment application with us before?

Unify Staffing is an equal opportunity employer. Please check Yes that you acknowledge that you have provided true and correct information

YesNo

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Standard Employee POSITION IN City of Industry , CA

Personal Information

Standard Employee POSITION IN City of Industry , CA

Employment Information

Standard Employee POSITION IN City of Industry , CA

Skills Information

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