EMPLOYEE INFORMATION
* SSN
* Email Address
* First Name
Middle Name
Last Name
* Address 1
  Address 2
* City / Town
State / Provence
Zip
* Home Phone
  Alternate Phone
  Alternate Contact
* Birth Date MO 
DAY
How did you heard of SFI ?

Are you willing to accept assignment at clients that maintain Smoke-Free environments?

Desired assignment Length

How many miles and minutes will you travel to an assignment?

Miles Min
Number of days notice
May we call you for the same orders?

Geographic area(s) you wish to work

 

Dates you are available to work
Days you are available to work

Check shifts you can work, List preffered hours

TO
TO
TO
Students?
Other comments regarding your availability

 

 

EMERGENCY CONTACT INFORMATION

Name
Address
Home Phone
Work Phone
   
Name
Address
Home Phone
Work Phone
   

School Name
Address
City
State
Zip
Graduation Date
Degree Subject
Overal GPA Major GPA
       
 
School Name
Address
 
City
State
Zip
Graduation Date
Degree Subject
Overal GPA Major GPA

 

INDUSTRY EXPERIENCE

     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     

 

PREVIOUS PERMANENT EMPLOYMENT

MOST RECENT 1ST, COMPLETE AS MANY AS POSSIBLE.

Company Name
Address
City
State
Zip Code
Phone
Job Title PAY RATE
Dates FROM: TO
Duties
Reason you left
Supervisor's Name
Department

PREVIOUS PERMANENT EMPLOYMENT

Company Name
Address
City
State
Zip Code
Phone
Job Title PAY RATE
Dates FROM: TO
Duties
Reason you left
Supervisor's Name
Department

PREVIOUS PERMANENT EMPLOYMENT

Company Name
Address
City
State
Zip Code
Phone
Job Title PAY RATE
Dates FROM: TO
Duties
Reason you left
Supervisor's Name
Department

 

I affirm that the facts set forth in my application are true and complete to the best of my knowledge, that I shall ensure that such facts remain true and accurate for the duration of my employment with S.F.I. (if I am offered employment by S.F.I.), and that any false statements are grounds for my immediate dismissal if I am offered employment. I give permission for S.F.I. to verify my employment reference. I also acknowledge and understand that S.F.I. has the capability to computer generate employees resume for its clients based on information contained on this application. By signing below, I hereby consent to S.F.I. generating and submitting such resumes on my behalf. I understand that if I am offered employment, I will be working for S.F.I. on its payroll at its client’s offices. Failure to show up at work without notifying S.F.I. in advance may result in automatic termination. I further understand that an offer of employment of an offer of a particular job assignment may be conditioned on the satisfactory completion of a physical exam, which may include drug and alcohol screening. I agree to notify S.F.I. immediately at the end of each job assignment with an S.F.I. client. If I fail to give such notice, S.F.I. may assume that I am not available for employment and I may be ineligible for unemployment benefits. I acknowledge that the duration of any assignment is not guaranteed. I further agree and acknowledge that my employment is “employment at will” and can be terminated, with or without cause or notice, at any time by S.F.I.

I ACKNOWLEDGE THAT S.F.I. IS AN EQUAL OPPORTUNITY EMPLOYER AND DOES NOT DISCRIMINATE BECAUSE OF SEX, AGE, DISABILITY, RACE, COLOR, RELIGION, NATIONAL ORIGIN, OR VETERAN STATUS.
SIGNATURE
  

THE FOLOWING SIGNATURE IS REQUIRED IF YOU ARE APPLYING FOR ACCOUNTING WORK:

I understand that I cannot render an opinion on any financial statement on behalf of S.F.I. I cannot sign my name or the S.F.I. name, or affix my license number, seal or certification to any financial statement on tax return while on assignment at an S.F.I. client.

SIGNATURE