Employment Application

Welcome to Pace Staffing's online application. Applying for a position couldn't be easier! Simply complete the below application, attach your resume, and initial the terms and conditions at the end of the application before submitting your information. Once your application is received, a Pace Staffing representative will contact you to set up an interview. Thank you for choosing Pace Staffing.

Personal Information


First Name (Required)
Middle Name
Last Name (Required)
Nickname / Preferred Name
Street Address / Apartment
City
State / ZIP Code
Primary Phone # (Required)		- Area code and phone number
Alternative Phone #		- Area code and phone number
Email Address (Required)

Resume - If you have a plain-text resume, paste it into the box below.

Availability

Are you at least 18 years of age and do you have the legal right to work in the United States?

Yes

No

When are you available to start?

How many hours are you willing to work in a week?

Are you willing to work overtime?

Yes

No

What is the minimum pay you desire?

Hourly rate or annual salary

How many miles are you willing to travel to a position?

REQUIRED: Please scroll through the drop down menu and select either the branch location closest to you…OR if you want your application to go to a specific staffing consultant, you can select their name.

Education

Enter most recent - Do not enter start and end date if the most recent is high school

Name of School
Type of school
Street Address
City
State / ZIP Code
Start Date (Month / Year)
End Date (Month / Year)
Major Study Area

Recent Employment

List most recent first

Company Name
Street Address
City
State / ZIP Code
Supervisor Name
Your Job Title
Job Duties
Start Date (Month / Year)
End Date (Month / Year)
Start Wage		Hourly rate or annual salary
End Wage		Hourly rate or annual salary

Company Name
Street Address
City
State / ZIP Code
Supervisor Name
Your Job Title
Job Duties
Start Date (Month / Year)
End Date (Month / Year)
Start Wage		Hourly rate or annual salary
End Wage		Hourly rate or annual salary

Company Name
Street Address
City
State / ZIP Code
Supervisor Name
Your Job Title
Job Duties
Start Date (Month / Year)
End Date (Month / Year)
Start Wage		Hourly rate or annual salary
End Wage		Hourly rate or annual salary



Criminal Background & Drug Screen

Have you ever been charged or convicted of a crime? If yes, please explain:
		Yes	No



Are you willing to take a drug test?		Yes	No




SKILLS Please check only those skill categories where you have either experience or skills that can be fully verified by testing or reference.
ACCOUNTING / FINANCE

ADMINISTRATIVE (CLERICAL)

SOFTWARE APPLICATIONS

LANGUAGE SKILLS

JOBS IN HEALTHCARE

WAREHOUSE / DISTRIBUTION

MANAGEMENT - SPECIALIZED ADMINISTRATIVE

CUSTOMER SERVICE / SALES

TECHNICAL SKILLS

ELECTRONICS / MANUFACTURING


Statements

In consideration of PACE Staffing Network's evaluation of my application and placement counsel: I certify that the information I have provided PACE Staffing Network is true and complete to the best of my knowledge. I understand that deliberately providing false information during the application process forfeits my eligibility to be represented by PACE Staffing Network, and I may be removed from my assignment and/or terminated for cause from the employment of PACE Staffing Network. I hereby authorize PACE Staffing Network to obtain information from previous employers, former work associates, schools, licensing authorities, and/or law enforcement agencies concerning my eligibility for employment. I hereby provide PACE Staffing Network authorization to disclose any information they obtain as part of their evaluation of my eligibility for employment with their clients for the purposes of placing me on a work assignment or referring me for hire. I further release any person or entity from all liability related to issuing information about my qualifications for employment. I understand that PACE Staffing Network may request that I take a drug test if required by the employment or work practices of their client to whom I would otherwise be eligible for referral. I further understand that PACE may disclose the results of such test to the client. I understand that I have the right to review any written report that becomes part of my employment file as a result of PACE's investigation of my eligibility for employment. In consideration of my employment by PACE Staffing Network: After Accepting an assignment, I cannot leave that assignment to accept another assignment at the same company, through another staffing company, without the written permission of PACE Staffing Network. Violation of this agreement may subject me to penalties and fees for damages incurred to PACE Staffing Network because of my actions. I release PACE Staffing Network from any liability for any descriptions of my work performance it may provide to a future employer. I agree that all information and records I produce or come in contact with while on assignment is the sole property of that client and will be considered proprietary and confidential. I agree not to use or disclose any information or work product I obtain or create while on assignment to any third party or to utilize said information or property for my own benefit. I agree that my employment can be terminated with or without cause at the option of either PACE Staffing Network or myself. I agree that if at any time I make a claim for a worker's compensation benefit based on an injury that occurs while on assignment via PACE Staffing Network, I will submit to any and all requests from PACE Staffing Network to an examination by a physician selected by them.



Pace Staffing Network is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Initials: