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Legal First Name

Middle Name

Last Name

SSN

Position Desired

DOB

Salary Desired

Street Address

City

State

Zip

Country

Phone Number

Emergency Contact Name & Phone Number

Date Available

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)

High School Diploma (GED) or College Degree

How did you learn about Unify Staffing? Indeed, LinkedIn, Social Media, Friend or Employee (Please add the name of the referral) or Drive by

Available to work any shift?

First

Second

Swing

Third

Any Shift

Have you filed for unemployment in the last 27 weeks?