Online Application

Use TEXT ONLY to ensure a correct and complete download of your application.
(Do NOT use breaks, bullet points, numbering, or special symbols throughout this form and do NOT create a new line/enter-key within a text box.)  Thank you!
 
Contact Information
Are you eligible to work in the United States?  
(Please note that we are unable to help applicants without a valid work permit.)
ID Number
(e.g. last 4 digits of your Social Sec. #):		  
Last Name, First Name:  
Middle Initial:
Address:
City:
State:
Zip:
Use this format to enter phone numbers: ###-###-####
Phone - main/home:  
Phone - cell:
Phone - work:
E-mail Address:  
Preferred Method of Contact:  
 
Interests & Availability
I am interested in: Contract Contract-to-Hire Direct Hire
Full-time, part-time, or both:
Available Hours part-time:
Availability:
I am interested in and QUALIFIED for the following current openings on your Web site: (list one reference per line only)
 
Click here to check out current openings
 
 
 
 
Salary Requirements
For Contract Work (hourly) Please use this format (##.##)
From                  to                   per hour
 
For Direct Hire Positions (annually)  Please use this format (##,###.00)
From   to                   annually
 
Education
Highest Level of Education:
Major:
Year completed:
Do not complete "Year completed" field if highest level is High School.
   
Interview Questions
Please answer the following questions short and precisely (max. 254 characters per field):
(Use Text only - do NOT use breaks, bullet points, numbering, or special symbols and do NOT create a new line/enter-key within a text box.)

TELL US ABOUT YOURSELF:  Provide us with a summary about yourself (2-4 sentences): 

 
What makes you top of the class? Why would you be someone we would like to represent to our clients and help getting a job?

 
 
Employment History
Start with your current/latest employer.
Name of Employer:  
City:  
State:
Phone:  
Salary Start:
Salary End:
Immediate Supervisor - Name & Title:  
Position Held (Your Title):  
Name of Employer:  
City:  
State:
Phone:
Salary Start:
Salary End:
Immediate Supervisor - Name & Title:  
Position Held (Your Title):  
Name of Employer:  
City:  
State:
Phone:
Salary Start:
Salary End:
Immediate Supervisor - Name & Title:  
Position Held (Your Title):  
Professional References
Please provide names and titles of supervisors and managers (not co-workers and friends).
Reference Name:  
Title:  
Phone:  
Relationship:  
Worked with at:  
Your Title:  
Dates of Employment:  
Reference Name:  
Title:  
Phone:  
Relationship:  
Worked with at:  
Your Title:  
Dates of Employment:  
Reference Name:  
Title:  
Phone:  
Relationship:  
Worked with at:  
Your Title:  
Dates of Employment:  
 
Miscellaneous Questions
   
How did you hear about us?
What COMPANIES have you done contract work through other agencies (please list the companies, not the agencies)?
What companies have you interviewed with recently?
Do you have any job offers pending? If yes, please describe.
Have you ever been convicted of a misdemeanor or felony (including D.U.I.) or a crime involving violence to another person?                                 In California, crime excludes any conviction more than two years old for a marijuana-related offense.  If yes, please describe.  This will not disqualify you from employment.

 
Paste in your resume in the field below (all characters allowed in this field). Make sure to also submit your resume in Word (we can only open Word files) directly to the staffing professional you will be interviewing with prior to your interview.
List Other Relevant Experience:

I HEREBY CERTIFY that the answers given by me to any questions and any statements made by me, either verbally or in writing, including any information provided in my resume, are full and true to the best of my knowledge and belief.  I understand that any false information, omissions or misrepresentation of facts called for in my application or any supplements thereto, is cause for rejection to my application or my representation by a.e.s. or discharge at any time during my employment with a.e.s. or any of their clients.

I understand that a.e.s. or their clients/prospects may obtain educational and employment history directly or use third parties as well as investigate my credit history, criminal record and DMV records and I voluntarily authorize any former and current employers (please know that we will NOT check on your current employer without having talked to you before and obtained your permission to do so as we would not do anything to jeopardize your current employment) whether stated in my application papers or not, schools, and persons named in my application or on a separate reference sheet and people involved with this investigation to give information regarding me.  I hereby release said organizations or persons from any liability or damage whatsoever.  I hereby authorize a.e.s. to share the results of this investigation with their employees, agents, clients, prospects, or any other entity in connection with my employment or representation.

I understand that this application will be given consideration, but is not a promise of employment or representation.  a.e.s. is an Equal Opportunity Employer - Applicants will be considered for employment without regard to their race, creed, color, religion, national origin, age, disability, sex, sexual orientation, citizenship, or any other characteristic protected by applicable federal or state laws.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENT AND CONFIRM TO AGREE TO IT ACCORDINGLY.  This form will be transmitted electronically and any information provided by me on the agency’s Online Application will be downloaded into an application paper which will not show my handwritten signature. HITTING THE “CONTINUE” BUTTON SERVES AS MY OFFICIAL SIGNATURE ON MY APPLICATION.