APPLICATION FOR EMPLOYMENT       

Fill out our on-line application prior to your interview or prior to initial contact and Carlton Staffing can immediately begin looking for your perfect job! We will print it out at our office and be ready to discuss potential job opportunities with you!

Carlton Staffing is an Equal Opportunity Employer. As such, Carlton maintains a strict policy of nondiscrimination with respect to all employees and applicants for employment decisions and referrals to client companies are based solely upon an individual’s qualifications relative to position requirements without regard to race, color, religion, national origin, age, sex, marital or veteran status, or disability.

No information gathered here will be divulged to outside sources without your consent.

   PERSONAL BACKGROUND  

Please complete as applicable and click the SUBMIT button at the bottom of this page.

First Name: Last Name: MI: 
Social Security # (no hyphens): Drivers License or State ID Number:   Issuing State:
Home Address: City: State: Zip: County:
Nearest Major Cross Streets:   E-Mail Address:
Home Phone:      Area Code Number   Work Phone:     Area Code Number
  Pager:               Area Code Number   Mobile Number:  Area Code Number
Emergency Contact: Contact Number: Area Code Number
How Did You Hear About Carlton? If Other, Please Specify

Even though all offices will be working to help you find employment, please select a "home" office below. Your "home" office will follow up with you for additional Federally required paperwork and interview information as necessary. You can pick up your paychecks at any Carlton office, not just your "home" office.

    

 Yes   No

 In addition to the office selected above, I am also interested in jobs available from Carlton Hospitality (waitstaff, bartending). Experience not necessary.
Please Direct My Application to the Following Carlton Employee (optional):     
Have you ever been convicted of a crime?                 No Yes                      Explain (if applicable)
Have you ever been convicted of a misdemeanor?     No Yes      
Have you ever been convicted of a felony?                No Yes      
                                                                               Date (if applicable):     State:                                                                                                                (Month)              (Day)     (Year)
            
Are you eligible to work in the U.S.?  Yes   No

Available Transportation:
Auto: Yes   No                            Bus: Yes   No 
Other:

Have you applied with Carlton Staffing before? Yes  No                      What year?  
Minimum Acceptable Annual Salary:    Hourly:                   Are you a smoker? Yes  No
(no letters, commas, or symbols)

   EMPLOYMENT HISTORY  

Please list your most recent position first.

From: Employer:  
To:     Address:    
City:  State:    Zip:   Supervisor: 
Position:  Phone:   Area Code  Number 
Responsibilities:

(no letters, commas, or symbols)
Starting Pay Rate $

Annual  Hourly

(no letters, commas, or symbols)
Final Pay Rate $

Annual  Hourly

(no letters, commas, or symbols)
Bonus/Commission $

Reason For Leaving: 
May We Contact For A Reference?: Yes   No   If not, why?
From: Employer:  
To:     Address:    
City:  State:    Zip:   Supervisor: 
Position: Phone:   Area Code  Number 
Responsibilities:

(no letters, commas, or symbols)
Starting Pay Rate $

Annual  Hourly

(no letters, commas, or symbols)
Final Pay Rate $

Annual  Hourly

(no letters, commas, or symbols)
Bonus/Commission $

Reason For Leaving: 
May We Contact For A Reference?: Yes   No   If not, why?
From: Employer:  
To:     Address:    
City:  State:    Zip:   Supervisor: 
Position:  Phone:   Area Code  Number 
Responsibilities:

(no letters, commas, or symbols)
Starting Pay Rate $

Annual  Hourly

 (no letters, commas, or symbols)
Final Pay Rate $

Annual  Hourly

(no letters, commas, or symbols)
Bonus/Commission $

Reason For Leaving: 
May We Contact For A Reference?: Yes   No   If not, why?

 

   EDUCATION AND TRAINING  

  High School Name:  Address: 

Graduated
Yes   No

Dates Attended

 Degree/Certificates & Major:
       		GPA: 
  Trade/Business Name:  Address: 

Graduated
Yes   No

Dates Attended

Degree/Certificates & Major:

 GPA: 
    College Name:  Address: 

Graduated
Yes   No

Dates Attended

Degree/Certificates & Major:

 GPA: 
    Other Name:  Address: 

Graduated
Yes   No

Dates Attended

Degree/Certificates & Major:

 GPA: 

Professional Certifications (CPA, CMA, JD, etc.)

TYPE NUMBER STATE YEAR
 
     
     

   CAREER PATH AND PREFERENCES  

 

                                                          Assignments I would like to be considered for:
            Yes   No    Full Time                      Yes   No     Part-Time                  Yes No      Temporary  

            Yes   No    Temporary to Hire       Yes   No     Long Term                Yes No       Contract

NOTE
This information is extremely helpful to our staffing coordinators. Additionally, the information provided does NOT limit you to specific types of jobs or locations.

  1 2 3
Position Preference      
Industry Preference      
Location Preference (area of town)
Employer Preference    
Employers to Avoid      
Recently Applied With  
On Own   Agency		  
On Own   Agency		  
On Own   Agency
Interviewing With  
On Own   Agency		  
On Own   Agency		  
On Own   Agency
Preferred Workgroup Size:  Office Pace/Environment: 
                                               Available to Start:
How Long:  Work Schedule: 

Professional Strength(s):

 

Professional Weakness(es):

 

Greatest Achievement:

 

 

I certify that by completing the two entries below that all information provided in this application is accurate and complete. I understand that falsification of any portion of this application, whether by providing inaccurate information or withholding relevant information, is grounds for immediate termination of employment.

PRE-EMPLOYMENT INQUIRY RELEASE: In connection with my application for employment (including contract for services) with Carlton Staffing, I understand that background inquiries may be made on me including credit, criminal, driving and other reports. These reports will include information as to my character, work habits, performance and experience along with reasons for termination of past employment from previous employers. Further, I understand that Carlton may be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to driving, criminal, civil and other experiences as well as claims involving me in the files of insurance companies.

 

I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OF AGENCY CONTACTED BY THIS EMPLOYER TO FURNISH THE ABOVE INFORMATION.

               Type Your Name Here To Accept Above Statements:       
               Type Today's Date In Any Format:                                     

After clicking the submit button below, check the next page to make sure it is not reporting any errors. If it is, click your back button, and recheck your work. If the problem won't correct itself, please email the exact message you receive to application@carltonstaffing.com.