Industrial Application


Personal Data  * Required information 
SSN Number:* (xxx-xx-xxxx)
Date of Birth:* (MM/DD/YYYY)
First Name:*
Middle/Maiden:
Last Name:*
Address1:*
Address2:
City:*
State:*
Zip:*
Home Phone:* (xxx-xxx-xxxx)
Cell Phone: (xxx-xxx-xxxx)
Work Phone: (xxx-xxx-xxxx) Ext:
Email:
OK to text? * Carrier

Emergency Contact Name: 
Phone: (xxx-xxx-xxxx)

Have you ever been convicted of a crime? *
If yes,
give details:
How did you hear of us?
Referred By:
Have transportation?
Do you smoke? *
Drivers License Number:

Type of Position: Temporary Permanent Temp To Perm
Date Available: (MM/DD/YYYY)
Days Available: Monday Tuesday Wednesday Thursday FridaySaturday  Sunday
Positions Desired (1):
Positions Desired (2):
Least Acceptable Salary:
Salary Desired:

Education
School:
City:
State:
Major/Minor:
Grade Average: out of
Degree Received:
Date Attended: thru (MM/YYYY)
School:
City
State:
Major/Minor:
Grade Average: out of
Degree Received:
Date Attended: thru (MM/YYYY)
School:
City:
State:
Major/Minor:
Grade Average: out of
Degree Received:
Date Attended: thru (MM/YYYY)

Work Experience Last 10 years
Dates: to (MM/YYYY)
Employer:
City:
State:
Type of Business:
Phone: Ext: (xxx-xxx-xxxx)
Job Title:
Reason for Leaving: *
Dates: to (MM/YYYY)
Employer:
City
State:
Type of Business:
Phone: Ext: (xxx-xxx-xxxx)
Job Title:
Reason for Leaving: *
Dates: to (MM/YYYY)
Employer:
City
State:
Type of Business:
Phone: Ext: (xxx-xxx-xxxx)
Job Title:
Reason for Leaving: *

Skills   (Select up to 10 )
Auto MechanicBack HoeCarpentryCement Finish
Cleaning PeopleCommercial Painting EstimatingCommercial Painting ExperienceCommercial Spackling Experience
DeliveryDock WorkDrill OperationDrywall taping/mudding
Electrical installation Food Prep.Food ServiceForklift
Front End LoadGeneral LaborGluing MachineHandtools
HardwareHeavy LiftingHousekeepingHydralics
InstrumentLathe MachineLawn MaintenanceLifting (Light to Medium)
Maintenance ManManufacturing AssemblyMaritimeNon-Medical Lab
PackingPage MillPainter 5Plumbing
PneumaticsProgrammable Logic ControllersPunch PressReceiving
RepairSandblastSealing MachineShipping
ShippingTexture MakerTool/DieTruck Driving Experience
UnionWiringWork Ticket: BootsWork Ticket: Gloves
Work Ticket: Hard HatWork Ticket: Other (1)Work Ticket: Other (2)Work Ticket: Safety Belt
Work Ticket: Safety GlassesWork Ticket: ShirtWork Ticket: Transportation ChargesWork Ticket: Vest
Wrapping       

Resume   (Copy and paste your resume in the text box)
 

Copyright 2006 Career Adventures Inc.
 324 Fort Street Shreveport, LA 71101
(318) 226-WORK (9675)