Bogard Staffing Application

First name

Last name

Middle Initial

Address

State

City

Zip Code

Phone Number

Email

Have you worked at a warehouse before:

Yes

No

if yes, which warehouse & Dates:

Position

Position applying for:

Seasonal /Temporary:

Seasonal

Temporary

Are you interested in:

Part Time (Min. of 20 hrs. per week)

Peak Time (Less than 20 hrs. per week)

How did you learn about this opportunity?

Availability: Date available to start (dd/mm/yyyy):

Indicate when you are available to be scheduled (specify a.m. or p.m.). Due to the nature of our business, the more available you are, the more opportunities we can consider you for.

Days you can work?

Can you work Overnight?

Provide Days and Times You Are Available:

_________________________________________________________________

High School Year Completed (Completion):

Post-Secondary (Completion):

High School Year Completed: Type of Certification/Diploma/Degree Received:

Post-Secondary: Type of Certification/Diploma/Degree Received:

_______________________________________________________________

Reference Check Consent

Please provide at least 2 work-related references Bogard Staffing may contact in the spaces below. List most recent employers, managers, supervisors only. DO NOT list family and friends

Supervisor’s Name:

Position Title:

Name of Company:

Address:

Can we contact them:

Yes

No

Phone Number:

Date of Employment:

You’re Position:

Reason for Leaving:

Duties:

_______________________________________________________________

Supervisor’s Name:

Position Title:

Name of Company:

Address:

Can we contact them:

Yes

No

Phone Number:

Date of Employment:

You’re Position:

Reason for Leaving:

Duties:

_______________________________________________________________

Resume (Please copy your resume here or email your resume to tmonroe@bogardstaffing.com)

_______________________________________________________________

I certify that the information on this application is correct and I understand that any misrepresentation or omission of any information will result in my disqualification from consideration for employment or if employed my dismissal for just cause. Bogard Staffing, Inc. may verify the information set forth on this application and obtain additional background information relating to my background. I authorize all persons, schools, companies, corporations, credit bureaus, law enforcement agencies and doctors to supply all information concerning my background. On the first day of employment I agree to provide Bogard Staffing, Inc. proof of my age (as required for company benefit plans and similar administration), Social Number and appropriate credentials as may be required. I understand that the first 3 months of active service will be probationary during which time my employment may be terminated without notice of termination of employment or pay in lieu thereof.

Print Name

Date

Bogard

Looking for employment? WE’RE ON THE JOB!

Job Seekers

Are you interested in temporary work?

Bogard Staffing Application

Position

Reference Check Consent

Bogard Staffing Services