Parker Corporate Services - Employment Application

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Employment Application

Welcome to Parker Corporate Services On-Line Employment Application Form.

In compliance with Federal and State equal employment laws, qualified applicants are considered for all positions without regard to race, color, sex, religion, national origin, age, marital status, or presence of non-job-related medical condition or handicap.

How did you find out about Parker Corporate Services?

Please Answer All Questions

I am applying for the following divisions (Check all that apply)
Whatcom Security Agency	Aable Temp
Business Extension	Merchant Patrol Security
Action Cleaning	Administration

Contact Information

First Name	Last Name
Address
City	State
	Postal Code

Message #	Phone Number
Email Address

When is the best time to call:

Background Information

How long have you lived in the area?

Have you filed an application or been employed by Parker Corporate Services, Inc.?	Yes No
If yes, When.?	(date)

Do you now or have you had friends employed by Parker Corporate Services, Inc.?	Yes No
If you answered yes who? (Please list all names)

Are you prevented from lawfully becoming employed in this country because of VISA or immigration status?	Yes No

Can you provide alien registration card ?	Yes No

Are you:	Under 21 21-70 Over 70

Have you ever been convicted of a felony or released from prison within the last 7 years?	Yes No
If you answered yes, please describe.
(Note: Some divisional applicants must meet requirements of RCW 18.70.030(3) which states that applicants:"not have been convicted of a crime-gross misdemeanor or felony in any jurisdiction".)

Employment Information

List each job held, starting with your present job or last job. Include military service assignment and volunteer activities. If you have had military service, a copy of your DD-214 must be furnished if you are hired.

Company 1

Company Name
Address
Name of Supervisor	Phone Number
Employment Start Date	Employment End Date
Starting Weekly Pay	Ending Weekly Pay
State job title and describe your work
Reason for leaving

Company 2

Company Name
Address
Name of Supervisor	Phone Number
Employment Start Date	Employment End Date
Starting Weekly Pay	Ending Weekly Pay
State job title and describe your work
Reason for leaving

Company 3

Company Name
Address
Name of Supervisor	Phone Number
Employment Start Date	Employment End Date
Starting Weekly Pay	Ending Weekly Pay
State job title and describe your work
Reason for leaving

General Information

Summarize special skills and qualifications for employment

Give the name, city, and phone of three (3) references not related to you.

Are you on layoff and subject to recall? Yes No

Describe any training or education you feel qualifies you for this position:

Education

			Diploma
High School:	Did you graduate?	Yes No	N/A
College:	Did you graduate?	Yes No
Trade College:	Did you graduate?	Yes No

Final Questions

Have you trained for CPR?	Yes No
Will you work overtime if asked?	Yes No

Pay rate expected?
When will you be available to start work?	(date)

Are all your answers accurate and correct to your knowledge?	Yes No