We accept only a percentage of the best applicants.  We wish we could help everyone, but unfortunately that is unrealistic.  Applicants need to have at least two verifiable work references to be considered.  We must have phone numbers in order to check those references!  If you are currently employed, let us know whether we can call your employer.  We are an equal opportunity employer.  We do not discriminate based upon race, color, religion, national origin, gender, age, disability, or sexual orientation.  To apply for a position through Staffing For Success, please fill out the following form and then send it with the button at the bottom of the page.

Please provide the following contact information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
Home Phone
FAX
E-mail

When are you available to work?:

Days        Swing     Graveyard  Long Term Temporary 

Desired Wage? 

Desired Position: 

Highest Degree of Education? 

Major Studies/Training?

Can you perform all of the functions of the job you are seeking?

Yes No

Special environmental needs? 

Should the job require some lifting, how much weight can you safely handle?

Certifications/Licenses:

Driving
CDL
Medical Card
Forklift
Heavy Equipment

Office/Computer Equipment:

Keyboard
10-Key
PC
Macintosh
Word
Excel
PowerPoint
Access
Word Perfect
Programming
HTML

Enter your most recent work or volunteer experience:

Dates
Position Held
Employer
Address
City, State/Prov
Zip/Postal code
Supervisor
Phone

Enter your second most recent work or volunteer experience:

Dates
Position Held
Employer
Address
City, State/Prov
Zip/Postal code
Supervisor
Phone

Enter your third most recent work or volunteer experience:

Dates
Position Held
Employer
Address
City, State/Prov
Zip/Postal code
Supervisor
Phone

 

Social Security Number   (Required by some references)

Resumes are a great tool that will help us market you to potential employers.  If you have one you can FAX it to (541) 734-7247 or e-mail it separately, in text or Microsoft Word format, to apply@staffingforsuccess.com.  Works and Word Perfect documents may not open correctly in our program.  If those are the only formats you can use, please bring your resume with you to our office on your first appointment there.  Resumes are not a substitute for filling out this form.  We can't consider you for employment without a pre-employment application.  Please let us know if you would like us to post your resume on this web site for potential employers to see, but we will need you to submit it to us in electronic form to do that.   

You can use the space to tell us more about your skills and what you are looking for, or any other short information.  (Large amounts of data, like a resume with a lot of formatting may cause your application to get an error when submitting.)

Reference Inquiry:  By sending this form to Staffing For Success I understand and agree that the information provided may be used in consideration of my employment, and I affirm that all statements made are true.  I hereby authorize Staffing For Success, Inc. to make confidential inquiries regarding my past employment and employers in accordance with the provisions of the privacy act.


Copyright © 1998 Staffing For Success, Inc. All rights reserved.
Revised: March 29, 2006