Hudson Staffing Application

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Date
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SSN

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First Name *

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Last Name *

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Street Address *

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Address 2
City *

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State *

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Zip Code *

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Primary Phone * ### - ### - ####
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Secondary Phone ### - ### - ####
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Emergency Phone ### - ### - ####
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Email *

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Applying for (position of interest)
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How did you hear about us?
Other
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How far are you willing to commute (each way?)

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What would be the minimum pay rate accepted?

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Type of work preferred (check any that applies)
Full-Time Part-Time Day to Day Assignments Short-Term
When are you willing to work?
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
1st Shift 2nd Shift 3rd Shift Flexible Overtime
What type of reliable transportation is available to you?
Car Bus Other
Other Transportation Option
Maximum Allowed: 20 characters. Currently Used: 0 characters.
SKILLS

ACCOUNTING
A/P A/R Accountant Accounting Clerk Bookkeeping Collections Cost Accounting Credit Finance General Ledger Payroll Tax
DISCIPLINES
Consulting Customer Service Desktop Publishing Editing Human Resources Research-Business Research-Technical Sales-Outside Sales/Telemarketing Supervision
OFFICE
Administrative Assistant Data Entry-Alpha Data Entry-Numeric Filing General Office Mail Room Office Manager Purchasing Receptionist Secretary Executive Secretary Legal Secretary Switchboard Operator < 6 Lines 6-15 Lines 16-30 lines >30 lines Tenkey < 8000 Tenkey > 8000 Typing Statistical Typing 20-40 WPM Typing 60+ WPM Word Processing
SOFTWARE
A&F Other AccPac Access Adobe Photoshop ADP Business Works Ceridian DOS Great Plains Dynamics Internet Savvy JD Edwards Lawson Lotus 1-2-3 Macintosh Mas 90, Mas 200 MS Excel MS PowerPoint MS Word Oracle Payroll-Other Peachtree Platinum QuickBooks SAP Solomon Word Perfect WP-Other
TECHNICAL
Applications Programming Computer Operator Computer Repair Computer Technician Database Analysis Database Management Database Programming GUI Development Hardware-Mainframe Hardware-Midsize Internet Developing Messaging Service Network Protocols Telecommuni- cations Windows Windows 2000 Networking Windows NT Networking Windows XP Networking Windows NT Networking
LANGUAGE
French Bi-lingual French Only Hmong Bi-lingual Hmong Only Korean Bi-lingual Korean Only Spanish Bi-lingual Spanish Only Vietnamese Bi-lingual Vietnamese Only
MEDICAL
Medical Billing Medical Coding Medical Collections
LIGHT INDUSTRIAL
Auto Detail Bindery Boat Cleanup Brake Press Cable Puller Calipers/Micrometers CDL Driver “A” or “B” Circuit Board Assembly Clean Room CNC Operator CNC Programmer Deburring Drill Press Dry Room Electronic Assembly Forklift Operator General Labor Heat/Air Housekeeping Inspection Inventory Control Janitorial Lathe Lawn Maintenance Lift Over 25-pounds Lift To 25-pounds Light Assembly Load & Unload-Computerized Load & Unload-Manual Machine Shop Medical Assembly Moving Packaging Pick & Pack Plant Maintenance Plastic Extrusion Plastic Injection Powder Coat Painter Print Room Operator Punch Press Screw Machine Ship & Receive-Computerized Ship & Receive-Manual Soldering Screen Printing Surface Mount Truck Driver Typeset Warehouse Welding Welding - Mig Welding - Stick Welding - Tig Welding - Wire Feed Wood Working/Carpentry
HOSPITALITY
Server Bartender Bus Person Prep Cook Hostess Line Cook Dishwasher

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Other Skill 1 Name
Other Skill 2 Name
Other Skill 3 Name
Other Skill 4 Name
Other Skill 5 Name
Other Skill 6 Name
Education
High School
Name
Degree/Diploma
Graduated
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GPA
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College
Name
Degree/Diploma
Graduated
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GPA
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Graduate
Name
Degree/Diploma
Graduated
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GPA
Maximum Allowed: 4 digits. Currently Used: 0 digits.
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EMPLOYMENT HISTORY

Start with your present or most recent position. Please include any career-related military service assignments.
Employer
Telephone Number ### - ### - ####
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Supervisor First Last
Dates Employed From
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To
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Starting Salary

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per hour
Final

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per hour
Work Performed
Reason for Leaving
Employer
Telephone Number ### - ### - ####
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Supervisor First Last
Dates Employed From
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To
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Starting Salary

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per hour
Final

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per hour
Work Performed
Reason for Leaving
Employer
Telephone Number ### - ### - ####
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Supervisor First Last
Dates Employed From
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To
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If you don't know the exact date enter the 1st of the correct month
Starting Salary

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per hour
Final

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per hour
Work Performed
Reason for Leaving
Employment references

Please list two employment references
Name
Phone Number ### - ### - ####
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Title
Name
Phone Number ### - ### - ####
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Title
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Hudson Staffing Application

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Education

High School

College

Graduate

EMPLOYMENT HISTORY

Employment references