Advantage Employment Inc.
10 Corporate Hill Drive, Suite 160
Little Rock, AR 72205
501.954.7222

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Employment Form

AGREEMENT AND DISCLOSURE STATEMENT

I understand that I am an employee at will. As an employee of Advantage Employment, Inc. I acknowledge that my application is for temporary or trial to hire positions which may or may not be either continuous nor for a time certain. Advantage Employment, Inc. may terminate my employment if I have made any false statements on this application, a resume, or time sheet and also, at its sole discretion and with out cause stated, written, or implied. I understand that it is my responsibility to return a completed time sheet, signed by me and the client and that I cannot be paid without doing so. I acknowledge that failure to comply with Advantage Employment's policies and procedures could result in termination and loss of unemployment benefits. I authorize you to check my past employment references and, if necessary, obtain an investigative report that may include a background check and drug test. I understand that the client may require random drug testing. I know that this report may include personal information related to my financial history and obligations as well as my character, honesty, and ethics.

By checking this box, I testify that the all information provided is correct and that I have read the Agreement and Disclosure Statement above.

Ten Key
Data Entry/
Numeric
General
Secretary
Executive
Secretary
Dictaphone/
Transcription
Please check any of the following that you have experience and/or job knowledge.

Admin Assistant
Eves
Temporary
Same Day
Weekends
Short Term
Part Time
Availability

Full Days
Long Term
Please fill out this Candidate Information Employment Form for job placement consideration. We will respond to your submission as soon as possible.
Last Name
First Name
Address Line 1
Address Line 2
City
State
Zip Code
E-mail Address
Home Phone
Cell Phone
Emergency Phone
Company Name
Line of Business

Work Experience
From

Job Title
Beginning Pay
To
Company City/State
Name of Supervisor
Co Phone #
Ending Pay
Responsibilities and Duties
Reason for Leaving
From
Company Name
Line of Business
Job Title
Beginning Pay
To
Company City/State
Name of Supervisor
Co Phone #
Ending Pay
Responsibilities and Duties
Reason for Leaving
From
Company Name
Line of Business
Job Title
Beginning Pay
To
Company City/State
Name of Supervisor
Co Phone #
Ending Pay
Responsibilities and Duties
Reason for Leaving
Education

High School Name
Address
Graduated?
College Name
Address
Graduated?
Major
Minor
Trade School Name
Address
Graduated?
Specialty
Today's Date
Date Available to Work
Pay Rate (minimum required)
Temp to Hire
Hours Available To Work
Have You Ever Been Convicted of a Felony or Do You Have a Conviction Pending?
Preferred Position
1st
2nd
3rd
Location Desired
How Did You Hear About Us?
Entry Level
Secretary
Legal
Secretary
Data Entry/Alpha
Types 0-9
Types 10-19
Types 20-29
Types 30-39
Types 40-49
Types 50-59
Types 60-69
Types 70+
Receptionist
Switchboard
Collate
Fax Machine
File Clerk
Scanner
General
Office Work
Mail Clerk
Microfiche or
Microfilm
Non-Profit
Sales
Lotus 123 (DOS)
Lotus 123
(Computerized)
Macintosh
MS Access -
Database
MS Excel
MS PowerPoint
MS Word
PC Literate
WordPerfect (DOS)
WordPerfect
(Windows)
Graphics/Design
AutoCAD
Computerized
Accounting
QuickBooks
Quicken
Peachtree
Great Plains
Accountant/
Degreed
Accounting Clerk
Accounts Payable
Accounts
Receivable
Billing
Bookkeeper
Collector/
Collections
Full Charge
Bookkeepers
General
Accountant
General Ledger
Payroll
Computerized
Payroll
Manual
Purchasing
Clerk
Quarterly Taxes
State/FICA
Tax Prep
Bank
Reconciliations
Banking
Investments
Loan
Processing
Mortgage
HR Benefits
HR Clerks
HR/Personnel
Assistant
HR Manager
HR Recruiter
Auto Insurance
Claims Processing
Commercial
Insurance
Health
Insurance
Insurance Clerk
Other Insurance
Residential
Insurance
Underwriter
Medical Billing
Clerk
Medical
Admin/Mgr
Medical
Assistant
Medical
Receptionist
Medical
Secretary
Medical
Transcription
Auto
Dealerships
Bilingual
Computer
Technician
Customer
Service
Graphic Artist
Marketing/Public
Relations
Office Manager
Real Estate
Technical Writer
Hardware
Engineer
Software Engineer
Network Engineer
Please list any applicable Accounting Software that you are experienced with
Please list any applicable other Software Packages that you are experienced with
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