Dark Staffing Solutions

APPLICATION FORM

I. PERSONAL INFORMATION

* Last Name

* First Name

* Middle Name

* Current Address

* City

* State

* Zip

Home Phone No.

Mobile Phone No

Alt. Phone No.

* Email

* Can you submit documentation that you are legally eligible to work in the United States?

Yes

* Transportation

Yes

* At least 21 years old?

Yes

Upload your resume

Choose file

Please complete this application in its entirety, even if you have uploaded your resume.

* How far are you willing to commute to work (in minutes)

* Any special skills or work history you feel we should know about?

* Availability

* Are you CPR and/or First Aid certified?

Yes

II. POSITION

* What position[s] are you seeking?

* Full-time employment?

Yes

* Part-Time Employment

Yes

* Temp Work

Yes

* How did you learn about the position?

* Salary or hourly wage desired?

III. PERSONAL COMMENTS

* Describe your strengths for the position for which you are applying:

* Describe any weaknesses for the position for which you are applying:

Please provide any other information that you consider relevant and important to your ability to perform the duties of the job for which you are applying, such as future educational plans, extracurricular activities, hobbies, and civil, fraternal, and charitable organizations (excluding information that may be indicative of race, color, religion, national origin, physical or mental disability, sexual orientation, or any other protected characteristic under federal, state, or local law):

Please indicate how many years experience you have in the following field(s):

Other? Please let us know here

IV. EDUCATIONAL BACKGROUND, MILITARY SERVICE, PROFESSIONAL POSITIONS, AND ADDITIONAL INFORMATION

* EDUCATION: Please list any additional educational, vocational, and professional information, such as special areas of research, training, seminars, or similar activities that are relevant to the position for which you are applying:

V. EMPLOYMENT EXPERIENCE

Starting with current employment, if any, please list employment history in reverse order

Present or Past Employer Details

* Present or last employer

* Address (1)

* City (1)

* State (1)

* Zip (1)

* Dates of employment from: (1)

* To: (1)

* Position(s) held (1)

* Describe your duties (1)

* Reason for leaving (1)

* Name and title of immediate supervisor (1)

* May we contact your current or last employer (1)

Yes

* Contact phone number (1)

* Contact email address (1)

Prior Employer Details

Prior Employer (2)

Address (2)

City (2)

State (2)

Zip (2)

Dates of employment from (2)

To (2)

Position(s) held (2)

Describe your duties (2)

Reason for leaving (2)

Name and title of immediate supervisor (2)

May we contact your current or last employer (2)

Yes

Contact phone number (2)

Contact email address (2)

REFERENCES: Please provide the names, addresses, and telephone numbers of at least three (3) references who are not related to you:

Referee Details

* Ref 1 Name

* Ref 1 Telephone No.

* Ref 1 Relationship

* Ref 1 Business

* Ref 1 Email

* Ref 2 Name

* Ref 2 Telephone No

* Ref 2 Relationship

* Ref 2 Business

* Ref 2 Email

* Ref 3 Name

* Ref 3 Telephone No.

* Ref 3 Relationship

* Ref 3 Business

* Ref 3 Email

VI. ACKNOWLEDGMENT

I certify that all the information contained within this application (and any and all attachments) is true and correct to thebest of my knowledge, and I understand that any false information or omissions may lead to the rejection of my application or, if I am employed, discipline up to and including termination at the time any such false information or omission is discovered.

I authorize investigation of all statements contained within this application; authorize Dark Solutions to secure information about my background and experience with former employers, educational institutions, and any relevant agencies; and authorize those parties to provideinformation to Dark Solutions concerning my background and experience. I hereby release Dark Solutions, and all parties providing information to Dark Solutions about my background and experience, from any liability whatsoever arising therefrom. I give my express written consent to receive text messages of any nature from Dark Staffing Solutions.

I understand that, if I am employed, my employment with Dark Solutions can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or the option of Dark Solutions. I further understand that nothing in this application, or in any oral or written statement provided to me by the Dark Solutions, will limit these rights to terminate my employment at will, and no representative of Dark Solutions will have any authority to change this at-will relationship.

I understand that any offer of employment is conditioned on my providing satisfactory proof of my identity and proof of eligibility to work in the United States. I further understand that this application is valid for any position Dark Solutions has open now or in the future and by providing my email address I elect to receive periodic job alert emails in which I may opt out of at any time.

* I have read an agree to the above statement