Sunbelt Staffing Application

This job application sells you to the client. Accuracy of employment history is vital. Employment history will be verified.

Please be sure to complete all required fields marked with an *. The form will not submit until all required fields have been completed.

First Name

Middle Initial

Last Name

Mailing or Home Street Address (Include apartment number if applicable)

City

State

Zip Code

Home Phone Number

Mobile Phone Number

Email Address

Please list any other names you worked under

Social Security Number

Emergency Contact Name and Phone Number

Completed High School / GED?

Yes

Select the highest level of college completed:

Do you have reliable transportation?

Yes

How soon are you able to start a new position through Sunbelt Staffing?

Have you previously applied with Sunbelt Staffing?

Yes

What shifts are you available to work?

Days

Evenings

Nights

Weekends

What skills do you have? (Please include the number of years experience following each listed skill)

What position are you applying for?

Minimum Pay Desired

Have you ever been convicted of or plead guilty (including pleas held in abeyance or under a deferral program) to any criminal offense (including DUI) except for minor traffic violations?

Yes

Have you ever been convicted of a crime or plead guilty to any crime under another name?

Yes

If you answered yes to either of the two questions above, please list these instances:

Do you have the legal right to work in the United States?

Yes

Are you 18 years of age or older?

Yes

Employment History
Please enter your previous employment history starting with your most recent.

1) Company Name

1) Company Phone Number

1) Type of Job

1) City

1) State

1) Employment Dates .From* To*

1) Ending Pay

1) Reason For Leaving

1) List all duties of position

2) Company Name

2) Company Phone Number

2) Type of Job

2) City

2) State

2) Employment Dates .From To

2) Ending Pay

2) Reason for Leaving

2) List all duties of this position

3) Company Name

3) Company Phone Number

3) Type of Job

3) City

3) State

3) Employment Dates .From To

3) Ending Pay

3) Reason for Leaving

3) List all duties of this position

4) Company Name

4) Company Phone Number

4) Type of Job

4) City

4) State

4) Employment Dates .From To

4) Ending Pay

4) Reason for Leaving

4) List all duties of this position

How did you learn about the Sunbelt Staffing website?

Please attach a copy of your Resume in one of the following formats: pdf, doc, txt

I understand that submitting this form is not a complete application for employment and to be considered before any assignment it will be necessary for me to visit Sunbelt Staffing to complete the application and interview process. Sunbelt Staffing requires 7 years of history. Any gaps of employment must be accounted for. You must bring your Social Security Card for IRS payroll purposes and other documentation to establish your work eligibility with the United States. Sunbelt Staffing uses the E-Verify system for employment authorization.
This online application is intended for use for those seeking temporary to temp-to-hire type position. Sunbelt Staffing refers qualified applicants without regard for race, color, religion, sex, age, or national origin.

You understand that nothing contained on this web site or in completing the online application creates an express or implied contract of employment. You understand that employment with Sunbelt Staffing is "at will". This means that you or Sunbelt Staffing may end your employment with or without notice or reason.