Online Application


First Name	Middle Initial	Last Name
Address / Street / Apt#	P.O .Box
City	State	Zip Code
(###-###-####)
(###-###-####)
Email Address Name of the position you are applying for

Are you looking for permanent work now? Yes No How did you learn about Excel Staffing?	Shifts Preferred (Hold CTL Key to select more than one)
Date available to work	Are you 18 years of age or older?
If employed with Excel Staffing, what form of transportation do you use?
Have you ever been convicted of a felony? If yes, please indicate nature of offense, date and a brief explanation (criminal conviction will not preempt you from employment, but may be considered in special positions). Yes No
As a staffing company, our employees may be exposed to a variety of work environments. Accordingly, are there any work environments in which you cannot work? If yes, please indicate the nature of the environment. Yes No

Educational History
School Name
City	State	Country (If outside the US)
Did you graduate (Degree / Diploma / Certificate) ?	Yes No
Major
List any other special skills/certificates and qualifications:


Work History (Start with the most recent position) Click "Add More Work History" for additional positions.
Company Name
City
Zip	Telephone
Start Date	End Date
Position Held	Supervisor
Job Duties
Starting Salary	Ending Salary
Reason for leaving


Use this space to cut and paste your resume here or list any other information you may wish to include.