Application

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Date*
MM slash DD slash YYYY
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Job Title
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Job Listing
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Job Listing ID
Shift Desired
- Select All
- First Shift
- Second Shift
- Third Third Shift
Location you are applying for
- Owensboro, KY
- Bowling Green, KY
- Clermont, FL
- Orlando, FL
- Evansville, IN
- Hopkinsville, KY
- Elizabethtown, KY
- Hartford, KY
- Louisville, KY
Have you ever been placed for employment with 323 Staffing Solutions?*
- No
- Yes
Where and When?
Personal Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone*
Home Phone
Email Address*
Educational Information
Schools
School Name
Address
City State / Province / Region ZIP / Postal Code Country

Graduate

Yes

No
Degree
Diploma, GED, Certificate
Are you currently enrolled?*
- Yes
- No
Explain
Employment History
Employers
Name of Employer
Employer's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

From
MM slash DD slash YYYY

To
MM slash DD slash YYYY

Job Title

Full-Time

Part-Time
Job Duties
Supervisor's Name
Supervisor's Contact Number
Reason for Leaving
Begin with your present or last job
Please select your computer skills or experience
- Microsoft Office
- Spreadsheets
- Quickbooks
- Email
- Powerpoint Presentations
- Database
- Social Media
- Web
- Graphic Design
Please list all of your experience in handling and operating trade related equipment
Please select your skills
- General Laborer
- Machine Operator
- Manufacturing
- Carpentry
- Customer Service
- Administration
- Accounting
- Driving
- CDL A
- CDL B
- Demolition
- Construction
- Drywall
- Concrete
- Insulation
- Lawncare/Landscaping
- Hotel
- Assembly
- Welding
- Forklift
- HVAC Maintenance
- Electrical Maintenance
- Mechanical Maintenance
- Heavy Equipment Operator
- Commercial Cleaning
- Buffing- Stripping- Waxing
- Carpet Upholstery
- Other
Describe your other skills
Additional Information
What type of employment are you seeking?
- Full-Time
- Part-Time
What hours are you seeking?
When can you begin work?*
MM slash DD slash YYYY
Are you legally authorized to work in the United States?
- Yes
- No
Do you possess a valid drivers license?
- Yes
- No
Do you have an official social security card?
- Yes
- No
Do you have reliable transportation?
- Yes
- No
Have you ever been discharged or forced to resign for misconduct or unsatisfactory work at your job?
- Yes
- No
Please explain
Have you been convicted of a crime other than a minor traffic violation?
- Yes
- No
Charges
Charge
Location
City State / Province / Region ZIP / Postal Code Country

Date
MM slash DD slash YYYY

Current Status
Would you pass a drug test administered by 3:23 Staffing Solutions?
- Yes
- No
Professional References
Please do not use family or friends.
References
Name
First Last
Phone Number
Job Title
Years Known
Please enter a number greater than or equal to 0.
CERTIFICATE OF APPLICANT - READ BEFORE SIGNING*
I acknowledge that 3:23 Staffing Solutions, LLC is a Christian based organization and should I be hired I am required to participate in a mandatory drug test. I also certify that all statements on this form are true, accurate and completed by my own hand. Any misrepresentations or omission of facts may result in my being disqualified for employment, or if hired, terminated from employment.

I understand that routine inquiry or investigation may be made during the initial or subsequent processing to provide information applicable to the job for which I am applying. I herby grant 3:23 Staffing Solutions, LLC. permission to access those records they deem necessary and release all parties from liability. I understand the information on this form will be treated in a manner consistent with the beliefs and business needs of 3:23 Staffing Solutions, LLC. and the laws of the state of Kentucky.

I further understand that I am applying for work through a temporary staffing company and 3:23 Staffing Solutions, LLC. reserves the right to terminate my employment at any time. As a temporary employee with 3:23 Staffing Solutions, LLC. I will not be entitled to annual or sick leave, paid holidays, health or dental insurance, grievance rights or other benefits normally associated with permanent employment.
I agree to the terms.
3:23 Staffing Solutions, LLC. is committed to a policy of equal employment opportunity and affirmative action. 3:23 Staffing Solutions, LLC's commitment is firm and long-standing. In keeping with this policy 3:23 Staffing Solutions, LLC will recruit, hire, train, promote, transfer and terminate persons without regard to race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, veteran status (specially status as a disabled veteran, Vietnam Era Veteran recently separated veteran, armed forces service medal veteran, or other protected veteran status), or other classification protected by applicable federal, state, or local law, except where age or sex is a bona fide occupational qualification. In addition, 3:23 Staffing Solutions, LLC will ensure that all other personnel actions such as compensation, benefits, will; be administered without regard to race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, veteran status (specially status as a disabled veteran, recently separated veteran, armed forces service medal veteran, or other protected veteran status), or other classification protected by applicable federal, state, or local law.

323 Staffing Solutions

Application

Personal Information

Educational Information

Employment History

Additional Information

Professional References

“Whatever you do, work at it with all your heart, as working for the Lord, not for man.”

Owensboro, KY

Bowling Green, KY

Winter Garden, FL

Elizabethtown, KY

Louisville, KY

Hopkinsville, KY

Evansville, IN