Mini Job Application

Please complete the application below:

First Name *

Last Name *

Address *

City *

State *

Zip *

Main Phone *

Alternate Phone

E-mail

Date Available for Work

Interested in Working
First shiftSecond shiftThird shift

Position Interested in
Light Industrial: Machine ShopLight Industrial: Plastic InjectionLight Industrial: OtherClerical: Data EntryClerical: Customer ServiceClerical: OtherOther (not listed)

Typing Speed (WPM)

Transportation
CarBusOther

Have you been convicted of a felony? *
NoYes

Have you previously applied to BARRYSTAFF? *
NoYes

Comments

Disclaimer
I UNDERSTAND THAT THE MINI APPLICATION IS THE FIRST STEP IN THE APPLICATION PROCESS. ALL APPLICANTS MUST APPLY ON SITE AND COMPLETE THE FULL APPLICATION FORM AT THAT TIME. *

Yes, I Understand

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