Summit Staffing, LLC

SUBMIT an APPLICATION & RESUME

In order to begin working together, we would like to learn more about you. Please take the time to accurately complete this application and submit a current copy of your resume in MS Word Format. We look forward to working with you.

* = required field.

Personal Information
First Name*	Last Name*

Address*	City*	State*	Zip*

Phone with Area Code*	Referred By	Referral Type
() -
eMail*

Employment Desired
Position	Start Date	Salary Desired

Are You employed?	May we contact your present employer?

Education History
	Name	Location	Years Attended	Did you graduate?	Subjects & Majors
*High School:
College:
Other:

Employment History
Employer 1
From*	To*	Name*	Address*

Salary*	Position*	Reason For Leaving*

Employer 2
From	To	Name	Address

Salary	Position	Reason For Leaving

Employer 3
From	To	Name	Address

Salary	Position	Reason For Leaving

References (non relatives, known at least one year)
	Name	Phone	Business	Years Known
*1.		() -
2.		() -
3.		() -

Other
Have you ever been convicted of a felony?
If yes, please explain

Is there anything that prevents you from performing any type job functions.
If yes, please explain

Attach Your Resume
We accept: .rtf & .doc files only
Select a file:

Authorization

I certify that the facts contained in this application are true and
complete to the best of my knowledge and understand that, if employed,
falsified statements on this application shall be grounds for
dismissal. I authorize investigation of all statements contained herein
and the references and employers listed above to give you any and all
information concerning my previous employment and any pertinent
information they may have, personal or otherwise, and release the
company from all liability for any damage that may result from
utilization of such information.
This waiver does not permit the release or use of disability-related or
medical information in a manner prohibited by the Americans with
Disabilities Act (ADA) and other relevant federal and state laws.

Submit Your Application and Resume

By hitting the submit button below you agree to the terms of the above authorization.

If you do not agree with the terms click here to leave the application process.

"The secret of success in life is for a man to be ready for his opportunity when it comes."

Benjamin Disraeli