info@comforttemp.com 24 HOUR SERVICE HOTLINE: 352-332-COOL




Name

Position Desired

Salary Desired

Date Available

Address

Email

Phone #

Social Security #

Drivers Licensee #

If applying for a position where driving is required-Do you have a valid driver’s license in this state?
 Yes No

Are you a U.S. Citizen?
 Yes No

Have you ever been convicted of a felony?
 Yes No

If selected for employment are you willing to submit to a pre-employment drug screening test?
 Yes No

If employed and under 18, can you furnish a work permit?
 Yes No N/A

Have you ever been employed by this company?
 Yes No

Are you prevented from lawfully becoming employed in this county because of visa or immigration status?
 Yes No

Can you perform the essential functions of this job (s) for which you are applying?
 Yes No

Are you able to work:
 Full Time Part Time Overtime

Are you willing to travel?
 Yes No

Special Skills, Qualifications and Considerations:
Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking.

Education
Most Recent School

Second Most Recent School

Third Most Recent School

Work History
Please Upload Resume of your work history, or copy and paste it into the text box below.

References
Please list 3 Professional References that we may contact.

Reference 1

Reference 2

Reference 3

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SUBMITTING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE (ELECTRICALLY) SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK THEM BEFORE SIGNING.

I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. By (Electrically) signing below, I authorize The Company to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character, and qualifications.

If hired, I will be responsible for familiarizing myself with all rules and regulations of The Company as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of The Company or at my option, without notice, at anytime for any reason.

I also understand that no representative of The Company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the President.

I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time.

 By checking this box you state that you have read, understand, and agree with the above.