Application for Employment

Please indicate that you have read our disclosure by clicking the “I AGREE” button below

I understand that screening and clearance tests may be required both pre and post employment
I understand that applicants are not required to give any information that is prohibited by law.
I understand that this firm is a temporary help service and for that reason is unable to guarantee to keep me busy on all occasions.
I understand that equal access to employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of The Bettinger Company.
I understand that it is The Bettinger Company’s policy that going on an interview is completely voluntary and non-compensable.

NOTE:

If you are already registered with us, and would like to just submit your resume, please email it to your previous Account coordinator. If you are considered for a position, our Account Associates will determine which tests will be administered based on client needs and your expertise. These tests will be either administered online, or in our office.

I AGREE

Personal Information

FULL NAME: First, Middle Initial, Last: *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell/Mobile Number *

Alternate Phone Number?

Email *

Emergency Contact Phone Number *

Emergency Contact Name and Relationship *

Position Applying for: *

How Did You Hear About The Bettinger Company? *

If you were referred by someone at The Bettinger Company, please provide their name below.

If you were referred by a client of The Bettinger Company, please provide their name below.

I am interested in: *

Full-time work
Part-time work

Resumé attached to this application? *

Mode of Transportation *

Car
Public Transportaion
Both

Do you have a Driver's License?

State Where Issued and License Number

Are you eligible to work in the U.S.? *

Please provide your U.S. Alien Registration Number or other explanation::

Have you ever been bonded? *

Are you eligible to be bonded? *

Being bonded means having an insurance policy in which the effort of the bonded company is guaranteed against problems.

Is there is any reason that you would be unable to fulfill all the responsibilities of the position for which you are applying? *

If yes, please explain here:

EDUCATION

Name of High School *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Attended from: *

Attended to: *

Did you graduate? *

Degree obtained *

High School Diploma
General Educational Development (GED)
No Degree Obtained

Name of College/University

Address

Address Line 1

Address Line 2

City

State

Zip Code

Attended from:

Attended to:

Did you graduate?

Subject/Major

EMPLOYMENT HISTORY

Most Recent/Current Employer *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone Number *

From: *

To: *

Position Title *

Name of Supervisor *

Reason for Leaving *

Previous Employer *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone Number *

From: *

To: *

Position Title *

Name of Supervisor *

Reason for Leaving *

OTHER SERVICES

If you have worked for a Temporary Help Service in the past, please complete the section below. If you have not worked for such a service, please enter NA.

Name of Company

Location of Position

Position Held/Title

Assignment Dates: To/From

Name of Company

Location of Position

Position Held/Title

Assignment Dates: To/From

PLEASE PROVIDE THE NAMES/ADDRESSES OF TWO PREVIOUS EMPLOYMENT REFERENCES:

Name of First Reference *

First Reference Title/Position *

First Reference Phone Number *

First Reference Company Name *

First Reference Address *

Address Line 1

Address Line 2

City

State

Zip Code

Second Reference Phone Number *

Name of Second Reference *

First

Last

Second Reference Title/Position *

Second Reference Company Name *

Second Reference Address *

Address Line 1

Address Line 2

City

State

Zip Code

RESUME SUBMISSION

File Upload

Click or drag a file to this area to upload.

Please submit my application to: *

A Better Way to a Great Job!

Have a question? Need some information? We're here to help!

How can we help?

Personal Information

EDUCATION

EMPLOYMENT HISTORY

OTHER SERVICES

PLEASE PROVIDE THE NAMES/ADDRESSES OF TWO PREVIOUS EMPLOYMENT REFERENCES:

RESUME SUBMISSION

A Better Way to a Great Job!

Have a question? Need some information? We're here to help!

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