Language / Idioma:
Step 1 of 7 APPLICANT CONTACT INFORMATION
1 2 3 4 5 6 7

APPLICATION FOR EMPLOYMENT

APPLICANT CONTACT INFORMATION

How did you find out about Diligent Staffing Inc.?
Referred By
Name
Please enter a valid phone number.
Please enter a valid phone number.
Address
Gender

Diligent Staffing Inc. staff are not permitted to assist applicants with taking photos, handling personal devices, or uploading images to the online application.

This policy is in place to protect your privacy and ensure the security of your personal information.

Make sure that the characters in the photo are clear and recognizable. JPG or PNG photos are optimized automatically before secure upload.

Choose a file or drag it here

Instructions for uploading your identification:

  • Use your phone camera or choose a photo from your device
  • Keep the full document in frame and make sure the text is sharp
  • The system will optimize the photo automatically
  • The optimized photo will be sent securely with your application

Your photo is optimized automatically before secure upload.

APPLICANT BACKGROUND

Are you over the age of 18?
Can you lift 50 lb. continuously?
Are you currently employed?
Any type of disabilities?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon request.
Are you willing to travel if a job requires it?
Have you been convicted of a felony within the last 7 years? A conviction will not necessarily disqualify an applicant from employment.
Are you available to work?

Be the most detailed as possible, since this will significantly increase the chances of placing you in a position best fitted to your experience.

Employment Experience

Start with your present or last job. Fill out a complete section for the last/present job. Include any job-related military service assignments and volunteer activities.

Employer & Address
Name of immediate supervisor
Please enter a valid phone number.
Dates Employed
Wage / Salary
What is your best guess as to how this supervisor would rate your overall performance?
Worst
Best

Terms and Conditions

Initials

Please draw your initials to confirm you have read and agreed to the 11 clauses above.

I agree to release and indemnify and release Diligent Staffing Inc, it’s officers and employees harmless for any penalties, fines, and work related injuries during my employment with Diligent Staffing Inc
Signature of Applicant

Please sign using your mouse or finger.

Applicant's Statement

I understand, also, that I am required to abide by all rules and regulations of the employer.
Signature of Applicant

Please sign using your mouse or finger.

STATEMENT AND ACKNOWLEDGEMENT OF AT-WILL EMPLOYMENT

Applicant Name
Signature of Applicant

Note to Employee: The original of this form will go into your personnel file.

EMERGENCY CONTACT INFORMATION

Please complete the following information to ensure we maintain a current record of contact information for you and your emergency contacts.

Contact Name
Contact Address
Please enter a valid phone number.
Please enter a valid phone number.