Welcome To Light Industrial Resource Management Application (LIRMA)

Please note that falsification of any document completed during the hiring process is grounds for immediate termination. This includes past work history. If you have worked at the client facility in the last 10 years you must disclose that information on the pre-screen and the application.

Additionally, if you have worked for Anchor Staffing/Acro Blue/Unified Staffing/Acro in the past, you must disclose that information and indicate the name of the client facility where you were previously employed.

Your background not necessarily disqualifies you from employment. However providing false documentation could adversely affect employment potential with Anchor Staffing/Acro Blue/Unified Staffing/Acro

Applicant Info

List previous employment history beginning with the most recent and with a minimum of 10 years, if applicable

Date: Month and Year	Name and Address of Employer	Position Title	Reason for leaving and/or termination of employment	Name & Phone of Immediate Supervisor

Please select your skills:

List Education, beginning with the most recent

Education	Date: Month and Year	Street Address	City	State	Did you graduate?

Emergency Contact

In the case of an emergency, please contact

Name

Home Phone Number

Relationship

Work Phone Number

Updating Your Contact Information: If your emergency contact information should change or require an update at a future date, please be sure to update your information with your Anchor/Unified/AcroBlue representative.

Referral Info

Do you know anyone who is currently working for the company in which you have applied to?

Yes No

If so, please provide the name of the individual and the department working:

Name

Department

Name

Department

Name

Department

How did you hear about us?

Referral Newspaper/Ad Internet

Which Newspaper/Internet Site?

Referred By

Date Referred

Where does this individual work?

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, explain

I have read and agree to the terms of such and all of the above ( ) individual statements.;

Signature

Attach Resume

* Only DOC or PDF file type is supported.

Download File	Action

Add App to Home Screen Applicant Info Entry Form * Mandatory

Applicant Info