Flint Personnel Services

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We Place In The Following Areas:

Accountant
Accounting Clerk
Customer Service
Data Entry Professional
Engineering
Executive Asst.
Finance
Human Resources
Information Technologies
Marketing
Receptionist
Sales

Please fill out the following form so that we may have your information on file. You may submit the form via
e-mail or print and mail/fax once you have completed the form.

First Name: MI: Last Name:

Phone: Ext.    Fax:

City: State: Zip:

E-mail:


Type of employment desired:

When are you available to start?

The following is additional information which will be required when you come to our office for an interview.
If you want to save time later you may enter the information now, but it is not required at this point.

Are you interested in permanent employment? Yes No

Will you work as a temporary employee? Yes No (Skip to previous employers below)

Availability: (Check all that apply)
Mon. - Fri.    From: To:
Weekends From: To:

If applicable, why are you seeking temporary employment?

Have you previously worked for a temporary service? Yes No

Previous Employers:

From (Month/Year) To (Month/Year) Name of Employer Address

Phone Supervisor Position Salary

From (Month/Year) To (Month/Year) Name of Employer Address

Phone Supervisor Position Salary

From (Month/Year) To (Month/Year) Name of Employer Address

Phone Supervisor Position Salary

From (Month/Year) To (Month/Year) Name of Employer Address

Phone Supervisor Position Salary

Education: Years Completed School Degree/Major                      Year Graduated

Graduate School

College Education

High School