Applicant Info Entry Form * Mandatory

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

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Are you currently employed?
Do you have reliable transportation?
Are you legally eligible to work in US?
Do you own/can obtain steel toed boots if required for assignment?
Are you able to pass a drug test today?
Do you have High School Diploma or GED?

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 Reason for leaving and/or termination of employment Name & Phone of Immediate Supervisor

Please check those where you have a minimum of one year of experience:

List Education, beginning with the most recent
Education Date: Month and Year Street Address City State Did you graduate?
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    * Only DOC or PDF file type is supported.