Phoenix Outsource ..:: Job seeker, employers offers in New York, USA ::..

First name

Last name

MI

Address

Apt #

State

City

Zip Code

Application Date

Social security number

E-mail address

Home Phone number

Cell Phone number

If offered employment, can you provide verification of your legal right to work in the United States?
YesNo

Applying for

Salary Desired

Date available to Work

Are you at least 18 years old?
YesNo

How were you referred to us?

Seeking
Full timePart-timeSeasonalTemporary

Have you ever been previously employed by Phoenix or its affiliates?
YesNo
If yes, what year, location and state:

Do you have any relatives employed by Phoenix or its affiliates?
YesNo
If yes, what store location and state

Where you ever employed under a different name or social security number?
YesNo
If yes, what name and #:

Do you have reliable transportation?
YesNo
Type:

Have you ever been convicted of a criminal offense - felony or serious misdemeanor (excluding convictions for marijuana-related offenses that are more than 2 years old)? (Please note: A conviction will not necessarily disqualify you for employment)
YesNo

Are you able to perform the essential duties of the position for which you are applying for with or without reasonable accommodations?
YesNo
If no, please indicate what type(s) of reasonable accommodations are needed:

Can you work weekends?
YesNo

Can you work overtime, if needed?

what shift(s) are you available to work?
DayEveSwingGraveyard

Monday
From

To

Tuesday
From

To

Wednesday
From

To

Thursday
From

To

Friday
From

To

Saturday
From

To

Sunday
From

To

Name and State of School

Did you graduate?
Yes or No

Certificate / Major / Degree

High School

College / University

Tech / Trade / Military

Other

Other related course or training relate to position:

Do you have any computer skills?
YesNo
Level
AdvancedIntermediateBasicBeginner

what software (if any) are you familiar with?

others skills, Abilities, Languages: