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When you apply with Staffix Group you have access to an incredible recruitment team that cares about your future and is passionate about finding you a lifelong career. We offer expert advice and resources and strive to connect you with local, national, and remote businesses.

First Name

Last Name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Highest Level of Education

Degree

Are you currently enrolled? Required

Yes

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Employment History

Job Title

From

Job Duties

Supervisor

Supervisor's Phone

Employment History

Job Title

From

Job Duties

Supervisor

Supervisor's Phone

Skillsets/ Gifts you would like to inform us about.

What was your favorite job and why?

What was your worst job and why?

What would be your perfect job and why?

References

Reference Phone

References

Reference Phone

I acknowledge that Staffix Group is a Christian based organization and should I be hired I am required to participate in a mandatory drug test. I also certify that all statements on this form are true, accurate and completed by my own hand. Any misrepresentations or omission of facts may result in my being disqualified for employment, or if hired, terminated from employment. I understand that routine inquiry or investigation may be made during the initial or subsequent processing to provide information applicable to the job for which I am applying. I herby grant Staffix Group. permission to access those records they deem necessary and release all parties from liability. I understand the information on this form will be treated in a manner consistent with the beliefs and business needs of Staffix Groupand the laws of the state of Kentucky. I further understand that I am applying for work through a temporary staffing company and Staffix Group reserves the right to terminate my employment at any time. As a temporary employee with Staffix Group. I will not be entitled to annual or sick leave, paid holidays, health or dental insurance, grievance rights or other benefits normally associated with permanent employment.

Staffix Group is committed to a policy of equal employment opportunity and affirmative action. Staffix Group’s commitment is firm and long-standing. In keeping with this policy Staffix Group will recruit, hire, train, promote, transfer and terminate persons without regard to race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, veteran status (specially status as a disabled veteran, Vietnam Era Veteran recently separated veteran, armed forces service medal veteran, or other protected veteran status), or other classification protected by applicable federal, state, or local law, except where age or sex is a bona fide occupational qualification. In addition, Staffix Group will ensure that all other personnel actions such as compensation, benefits, will; be administered without regard to race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, veteran status (specially status as a disabled veteran, recently separated veteran, armed forces service medal veteran, or other protected veteran status), or other classification protected by applicable federal, state, or local law.

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Saturday

Sunday

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