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Full Service Temporary & Seasonal Staffing Specialists Located in Chico, CA

Providing the highest quality of service to each and every one of our clients and employees

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About Atlas
Employer Services
Current Openings
Recent Blog
Employees/Empleados
Contact

Employment Application

Atlas HR & Staffing

An Equal Opportunity Employer - All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Step 1 of 3

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PERSONAL INFORMATION
Incomplete information could disqualify you from further consideration. Please complete all fields.
Name*
Date*
MM slash DD slash YYYY
Mailing Address*
Address City State / Province / Region ZIP / Postal Code
Physical Address*
Address City State / Province / Region ZIP / Postal Code
Home Phone #
Mobile Phone #*
Emergency Contact Name/Relationship/Phone #*
Are you eligible to work in the U.S?*
- Yes
- No
Email
Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)*
- Yes
- No
Have you ever been terminated from employment or asked to resign by an employer?*
- Yes
- No
If yes, please provide company names and details*
Can you work any shift?*
- Yes
- No
Can you work overtime, including weekends?*
- Yes
- No
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?*
- Yes
- No
Have you received company provided harassment training with a former employer within the past two years?*
- Yes
- No
If yes, then please provide details*
EMPLOYMENT DESIRED
Date*
MM slash DD slash YYYY
Hourly Rate/Salary desired*
Position Desired*
Are you currently employed?*
- Yes
- No
If so may we inquire of your present employer?*

REFERRAL SOURCE
How did you hear about us?
- Walk In
- Advertisement
- Referral
Have you ever worked for this company before?*
- Yes
- No
Explain*
Do you know anyone who works for our company?*
- Yes
- No
If yes, who?*
EDUCATION
High School
Name and location of school
No. of yrs. Attended
Degree Received
Subjects Studied/Major
College or University
Name and location of school
No. of yrs. Attended
Degree Received
Subjects Studied/Major
Trade or Business School
Name and location of school
No. of yrs. Attended
Degree Received
Subjects Studied/Major
EMPLOYMENT HISTORY
Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.
Employer Name*
From:*
MM slash DD slash YYYY
To:*
MM slash DD slash YYYY
Telephone:*
Job Title*
Address*
Immediate supervisor and title*
Summarize the nature of work performed and job responsibilities*
Reason for leaving*
Employer Name
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Telephone:
Job Title
Address
Immediate supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Employer Name
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Telephone:
Job Title
Address
Immediate supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.
Computer Skills (please describe):
Languages:
- English
- Spanish
- Other
Other

REFERENCES
Give the names of three persons not related to you, whom you have known at least three (3) years.
Name*
Address, Phone*
Company*
Years Acquainted*
Name
Address, Phone
Company
Years Acquainted
Name
Address, Phone
Company
Years Acquainted
Please read carefully before signing.
Consent*
I agree to the privacy policy.*
Atlas HR & Staffing is an equal opportunity employer. Atlas HR & Staffing does not discriminate in employment
on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual
harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Atlas HR & Staffing to hire me. If I am hired, I understand that either Atlas HR & Staffing or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Atlas HR & Staffing has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to Atlas HR & Staffing true and complete information on this application. No requested information has been concealed. I authorize Atlas HR & Staffing to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Date*
MM slash DD slash YYYY
Signature

About us

Atlas HR & Staffing is a locally owned, woman-owned bilingual staffing agency located in Chico, CA, servicing Butte, Tehama, Glenn, Colusa, Sutter, Yuba & Shasta Counties.

Contact atlas

250 Vallombrosa Ave Suite 266, Chico CA 95926

Mailing Address: PO Box 3609 Chico, CA 95927

Tel. (530) 399-0183
Fax (530) 399-0185

Email: info@atlashrstaffing.com

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Employer Services
Current Openings
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Employees/Empleados
Contact

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