Today's date 

First name

Middle name 

Last name 

Street address 

City/State/Zip 

Home telephone 

Pager or Cell phone 

Work telephone 

May we contact you at work? Yes  No 

E-Mail 

Emergency contact name 

Emergency contact Telephone 

Skill area: Clerical  Industrial  Technical  Managerial  Executive

Type of position applying for 

First date available 

Available -- Mon  Tues  Weds  Thurs  Fri  Sat  Sun

Shifts Available --  1st  2nd  3rd

Overtime acceptable? Yes  No

Wage required 

Hours per week preferred 

Maximum travel distance 

Available to relocate? Yes  No

Are you currently working? Yes  No

Notice required -- Same day One day More than a day Two weeks

Other Information

Drivers License Number 

State Issued 

Educational Experience

Did you graduate from High School or obtain a GED? Yes No

Last School/College/University attended 

Institution Type 

City/State 

Major Study 

Degree Received 

Last year attended 

Additional education or training

Institution Name 

Institution Type 

City/State 

Major Study 

Degree Received 

Last year attended 

Current/Last Employer Information

Employer name 

Employer address 

City/State/Zip   

Type of business 

Telephone number 

Fulltime/Part-time or Temporary 

Start date 

Last date 

Starting pay 

Last pay 

Position/Title 

Immediate supervisor 

Duties

Reason for leaving 

Previous Employer Information

Employer name 

Employer address 

City/State/Zip   

Type of business 

Telephone number 

Fulltime/Part-time or Temporary 

Start date 

Last date 

Starting pay 

Last pay 

Position/Title 

Immediate supervisor 

Duties

Reason for leaving 

List all professional certifications and or licenses held

Jump to Clerical Skills  -  Technical Skills  -  Executive Skills - End of Application

Skills (check all that apply):

Administrative/Clerical

Accounting - Payables Payroll Receivables Reconciliation 

Credit and Collections

             Software - Peachtree Quicken QuickBooks Dynamics

	     Other 

Automation - Internet Explorer Navigator

             Desktop Publishing Corel Draw PageMaker PowerPoint

             Order Entry

             Spreadsheets Lotus 123 Excel(version
	97
	2000
	2003 or XP
	2007
	)

             Word Processing Word (version
	97
	2000
	2003 or XP
	2007
	)WordPerfect

             Windows 95 98 Me NT 2000XP  Vista 

             Other operating systems

             Databases Access (version
	97
	2000
	2003 or XP
	2007
	)Other 

             Microsoft Outlook

General Office - Telephone Number of Lines

             Filing Alpha Numeric Coding Posting

             Bulk Mail

             Telemarketing

             Customer Service

             Data Entry Alpha Numeric

Specialty Area(s)

             Finance (list skills/certifications in Finance area) 

             Human Resources (list skills/certifications in HR area) 

             Insurance (list skills/certifications in Insurance area)

             Legal Stenographer Secretary

                   (list skill/certifications in Legal area)

             Medical Transcriptionist Billing

                   (list skills/certifications in Medical area)

Other Administrative / Clerical Skills

Jump to Clerical Skills  -  Technical Skills  -  Executive Skills - End of Application

Skills (check all that apply):

Industrial

General

             Carpenter 

             Electrician

             Plumber

             HVAC

             Welder MIG TIG Stick Arc

             Solder

             Demolition

             Supervisor in Construction in Plastics in Electronics in other Mfg.

             Mechanic Diesel

             Validator

             Construction

             Painter

             Inventory

             Mover

             Road Construction

             Machine Operator

             Roofing

             Concrete

Factory

             Mechanical Assembler

             Electronic Assembler

             Packager

             Quality Control

             Machine Operator

Maintenance

             Building Repair

             Cleaning

             Floor Care

             Landscaping

             Lawn Care

             Hotel Cleaning

             Janitorial

Equipment

             Truck- Class A CDL License

             Backhoe

             Outside Forklift

             Crane

             Drill

             Saw

             Jack Hammer

Warehouse

             Computer

             Receiving

             Shipping

             Load/unload

             Hand Jack

             Forklift

Jump to Clerical Skills  -  Industrial Skills  -  Executive Skills - End of Application

Skills (check all that apply):

Technical

Engineering

            Chemical Engineer

            Computer Engineer

            Electrical Engineer

            Mechanical Engineer

            Civil Engineer

            Engineering Other

MIS

            Programming

            Systems Analyst

            Network Administrator

            Webmaster

            List software/hardware knowledge

Other

Jump to Clerical Skills  -  Industrial Skills - Technical Skills  -   End of Application

Executive 

Under development

Please summarize all Executive/Management Skills

End of Application

I

Permission for Release of Information:

The facts given in this application are true and complete.  I understand that individuals or corporations 

may be contacted to provide information relating to my prior employment, education, or character, and I 

hereby release these.  I agree that any misstatement(s) or ommssion(s) as to material facts constitute 

grounds for dismissal from employment.

                        Date 

                   Signature 

Application Packet

For work as a employee of Oprandi Staffing Solutions you will also need to fill out the following and return them to our office:

Oprandi Staffing application, I-9, W-4, State Withholding, City and School District Withholding,

Drug Free Work Place Agreement, Reference Release