New Hiring

Tue, 05/12/2009 - 20:15 — mds_private

Information

Today's Date: *

First name: *

Last name: *

Email Address:

Second Email Address:

Phone Number:

Mobile Number:

Address:

How long have you lived at this address:

Have you ever worked here before:

Yes

Do you have any friends or relatives working for company.:

yes

Date of Birth:

Have you ever pled guilty or "no contest" to a felony or been convicted of a felony?:

yes

If yes then please give date and detals of each :

Education

Name of school:

Highest grade completed:

Name Of College:

Number of years:

Gradute:

Name of Major:

Diploma/Degree:

Please note any training/skills you feel would be helpful in evaluation of your application (e.g. computer software, shorthand,office equipment, languages, etc.)::

Personal References

Please list people who know you well - Not previous employers or relatives.

Person One

Name:

Occupation:

Address:

Phone Number:

Number of years Known: years

Person Two

Name:

Occupation:

Address:

Phone Number:

Number of years Known: years

Person Three

Name:

Occupation:

Address:

Phone Number:

Number of years Known: years

PREVIOUS EMPLOYMENT HISTORY

Please list the names of your current or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time, including military service and any period of unemployment. If self-employed

Employer One

Name:

May we contact:

yes

Dates Employed :

Address:

Supervisor's Name & Title::

Phone::

Your Job title:

Duties:

Reason for leaving:

Salary History:Starting- Ending:

Employer Three

Name:

May we contact:

yes

Dates Employed :

Address:

Supervisor's Name & Title::

Phone::

Your Job title:

Duties:

Reason for leaving:

Salary History:Starting- Ending:

Employer Two

Name:

May we contact:

yes

Dates Employed :

Address:

Supervisor's Name & Title::

Phone::

Your Job title:

Duties:

Reason for leaving:

Salary History:Starting- Ending:

What is the next number in this sequence: 1 3 6 10 15 ____?:

What is 25.25+125.12 + 145.30 â€“ 6.8?:

What is 42% of 25.80?:

What is 5/6 + 12/7 + 4/5?:

What is the 9th letter of MDS' full name?:

What is the last digit of 99 factorial?:

It is maddening when courts let guilty criminals go free:

Strongly Agree

Agree

Disagree

Strongly Disagree

I got mostly good grades in high school.:

Strongly Agree

Agree

Disagree

Strongly Disagree

It is okay to take small items from your employer.:

Strongly Agree

Agree

Disagree

Strongly Disagree

I am almost always on time.:

Strongly Agree

Agree

Disagree

Strongly Disagree

I am an Internet expert.:

Strongly Agree

Agree

Disagree

Strongly Disagree

I tend to be a cheerful person.:

Strongly Agree

Agree

Disagree

Strongly Disagree

It is hard to dissuade me once I have made up my mind.:

Strongly Agree

Agree

Disagree

Strongly Disagree

I have almost no regrets in life.:

Strongly Agree

Agree

Disagree

Strongly Disagree

I have never lied.:

Strongly Agree

Agree

Disagree

Strongly Disagree

I have only a few friends that are close to me:

Strongly Agree

Agree

Disagree

Strongly Disagree

There are some people whom I really can't stand.:

Strongly Agree

Agree

Disagree

Strongly Disagree

Family always comes first in my life.:

Strongly Agree

Agree

Disagree

Strongly Disagree

The clientâ€™s happiness always comes first, even if what they want is wrong or illegal.:

Strongly Agree

Agree

Disagree

Strongly Disagree

If I work at home, I can greet clients in my pajamas and slippers:

Strongly Agree

Agree

Disagree

Strongly Disagree

I believe it is okay to hurt animals as long as they donâ€™t turn on me.:

Strongly Agree

Agree

Disagree

Strongly Disagree

I have no problems with a diverse workplace environment.:

Strongly Agree

Agree

Disagree

Strongly Disagree

So I smoke and drink a lot, big deal. I donâ€™t do it at work:

Strongly Agree

Agree

Disagree

Strongly Disagree

For the following pairs of activities, choose which one you would most rather.:

Resume upload:

Please upload your resume here.