Temp-Stop, LLC
Employment Application

Contact Information
First Name
Last Name
Street Address
Home Telephone
Mobile Phone
Email Address
Required Information
Are you at least 16?YES | NO
Are you at least 18?YES | NO
Are you at least 21?YES | NO
Previously worked for Temp-Stop?YES | NO
If so, starting when?
If so, ending when?
If so, what was your position?
Where you referred to us by anyone? If so who?
Your Availability
What is your desired Starting Pay?
What is your desired Position?
What is your desired Location?
(Hold Control to Select Multiple Stores)
Desired # of Hours/Week
Desired Times/Week
Can you work Nights?YES | NO
Can you work Overtime?YES | NO
Can you work Weekends?YES | NO
Can you work Holidays?YES | NO
When can you start?
Your On-Job Experience
Your Formal Education
Highest Grade Completed
Graduated High School?YES | NO
College Name
College Attended
Part time or full time?
Degree Title
Credit Hours
Your Employment History
Please Show the Last 5 Years of Employment
Use the Checkbox Below Employment History #2 to Add More Employment History
Last Employer
Type of Business
Attended Starting/Ending Dates
Supervisor's Name
Type of Job
Job Description
Were you fired?YES | NO
Why did you leave this position?
Would you be rehired?YES | NO
Why or why not?
Criminal Record
Have you ever been convicted of a crime?
If so, which dates?
If so, why?
Human Test
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