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EMPLOYMENT APPLICATION For

Capital Area Staffing Solutions, Inc.
and
Bangor Area Staffing Solutions
(hereinafter collectively referred to as “CASS”)

An Equal Opportunity Employer
Applicants are considered for all positions without regard to race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, or any other status protected by applicable federal, state, or local law.
Thank you for taking the time to fill out our online employment application! Please fill out this application as completely as possible.

 

Personal Information

Are you at least 18 years of age and do you have the legal right to work in the United States?
Yes No
 
First Name (Required)
Middle Name
Last Name (Required)
Nickname / Preferred Name
Street Address / Apartment  
City
State / ZIP Code     
Mailing Address (if different from above)
Street Address / Apartment  
City
State / ZIP Code     
Home Phone (Required) - Area code and phone number
Cell Phone - Area code and phone number
Email Address
Emergency Contact and Phone
Are you a Veteran?
Yes No
I understand that if I am given a job offer or placed on a roster of eligibility for particular clients of CASS, I may have to undergo a substance abuse test, the initial cost of which will be borne by CASS. I further understand that I may review the approved CASS policy at 2386 North Belfast Avenue, Augusta, Maine 04330.
I would prefer to work for clients that do not require a drug screen   Yes No
How did you hear about us?

Availability

Are you looking for Temporary?
Yes No
Are you looking for Temp-to-Hire?
Yes No
Are you looking for Direct Hire?
Yes No
When are you available to start?     
What weekday hours are you available?
What weekend hours are you available?
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 much notice will you need if a position is offered to you?
Do you have reliable transportation?
How many miles are you willing to travel to a position?
Which location would you like to apply?
     

Education

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

Recent Employment

List most recent first
Company Name
Street Address
City
State / ZIP Code   
Company Phone - Area code and phone number
Job Title  
Job Duties  
Supervisor Name
Supervisor email address
Start Date (Month / Year)      
End Date (Month / Year)   Leave blank if currently employed
Reason For Leaving
Did you give a notice?
Yes No
If yes, how long?
Did you work through your notice?
Yes No
Your name when employed, if different than present name:
May we contact this employer for a reference check?
Yes No
Company Name
Street Address
City
State / ZIP Code   
Company Phone - Area code and phone number
Job Title  
Job Duties  
Supervisor Name
Supervisor email address
Start Date (Month / Year)     
End Date (Month / Year)   
Reason For Leaving
Did you give a notice?
Yes No
If yes, how long?
Did you work through your notice?
Yes No
Your name when employed, if different than present name:
May we contact this employer for a reference check?
Yes No
Company Name
Street Address
City
State / ZIP Code   
Company Phone - Area code and phone number
Job Title  
Job Duties  
Supervisor Name
Supervisor email address
Start Date (Month / Year)     
End Date (Month / Year)   
Reason For Leaving
Did you give a notice?
Yes No
If yes, how long?
Did you work through your notice?
Yes No
Your name when employed, if different than present name:
May we contact this employer for a reference check?
Yes No
 

I hereby certify that the information I have provided in this employment application is true and correct to the best of my knowledge, and that I have not withheld information that would, if disclosed, affect this application unfavorably. I understand that falsified or intentionally misleading information in any detail or significant omissions from this application may disqualify me from further consideration for employment, or may result in my termination if discovered after my hire. I agree that neither Capital Area Staffing Solutions, Inc. nor Bangor Area Staffing Solutions (A Division of Capital Area Staffing Solutions, Inc., hereinafter referred to as “CASS”) shall be liable for disqualifying or terminating me under such circumstances.

I understand that my employment is “at will,” and can be terminated for any reason, with or without notice, at any time, at either CASS’s or my option.

I further agree that, if employed, I will conform my conduct to CASS’s policies and procedures.

Finally, I hereby certify that any tests administered to me via Internet were, in fact, taken by me and no one else.

Please take a moment to review your application.  Indicate that you have read the above statement by entering your initials in the box below.  To complete this application, click on the Submit Application button.
Initials:    


This Company 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.