Contact Bernard Personnel for permanent/temporary employees.


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Employee Request
Are you an employer looking for that ideal employee? Take a moment to make an online request and we will be calling you shortly.

Instructions: Please fill out all of the fields (where applicable). Many of the fields will scroll to accomodate more text. If the box will hold the text it will be submitted with your application..

First Name:	Last Name: Initial:
Social Security #		Birthday:

Address:
Address 2:
City:		State: Zip:

Emergency Phone:
Home Phone:		Mobile Phone:

Current Employer:		Employer Telephone:
Office Phone:
Days & Times to be reached at this #

Driver's License #:
Do you have a car?:		YesNo
Can you drive a manual transmission :		YesNo

Are you currently on "lay-off" status and subject to recall?		YesNo

Are you a US citizen? :		YesNo

Position Desired (First Choice) :
Position Desired (Second Choice) :
Salary Desired :
Least Acceptable Salary
Location Desired? :
Willing to Relocate?		YesNo
Are you bondable?		YesNoNot Sure


Have you ever been convicted of a crime, other than a minor traffic violation?			YesNo
If yes please explain:


Have you ever had major surgery or have you ever suffered a Worker's Compensation injury which would
interfere with your ability to perform the position for which you are applying?			YesNo
If yes please explain

Education

High School
Name and Location

Years Attended

Degree or Major

Date Completed

or Reason Not Completed

College
Name and Location

Years Attended

Degree or Major

Date Completed

or Reason Not Completed

Business School or Graduate School
Name and Location

Years Attended

Degree or Major

Date Completed

or Reason Not Completed

Employment History
Please list your last 3 jobs (most recent first).
Job 1 (most recent)
Start/End Date

Company Name and Address

Type of Business

Job Title and Major Responsibilities

Supervisor and Phone #

Salary

Reason Left

Job 2
Start/End Date

Company Name and Address

Type of Business

Job Title and Major Responsibilities

Supervisor and Phone #

Salary

Reason Left

Job 3
Start/End Date

Company Name and Address

Type of Business

Job Title and Major Responsibilities

Supervisor and Phone #

Salary

Reason Left

So that our placement counselors will not waste your time in duplicating your efforts, and to avoid questions on referrals, will you kindly list the companies with whom you have been in contact, the contacts name and the position you applied

Skills

Please check all skills in which you are experienced. Skills boxes can accomodate 100 characters.

Software

Microsoft Word: Version(s) (eg 97,2000,xp)

WordPerfect: Version(s)

Other Word Processors

Microsoft Excel: Version(s)

Quattro Pro: Versions(s)

Lotus 123: Versions(s)

Other Spreadsheets and Version(s)

Microsoft Access: Version(s)

Other Databases and Version(s)

Microsoft Powerpoint: Version(s)

Act: Version(s)

Goldmine: Version(s)

Microsoft Outlook: Version(s)

Microsoft Project: Version(s)

Quickbooks: Version(s)

Quickbooks Pro: Version(s)

Microsoft Windows: Version(s)

Internet Explorer Firefox Opera
Other Browsers: List

Clerical

Filing ( Alpha Numeric)

General

Collate

Receptionist

Cashier

Mailroom

Other

Accounting

Accounting

Payroll

Billing

Accounts Receivable

Accounts Payable: Number of Employees

Payroll: System # Hourly #Monthly

Manual Accounting

Computerized Accounting

Bank Reconciliation

General Ledger

Full Charge: Financial Statements Trial Balance Quarterly Reports

Posting

Taxes

Assistant Bookkeeper

Collections

Auditing

Other

Technical

Designer

Surveyor

Lab Tech

Engineer

Chemist

Other

Typing

Speed (words per minute)

Typewriter

Receptionist

Manuscript

Legal

Medical

Statistical

Technical

Other

Computing

Ten Key (Numeric)

Database

Alpha

Numeric

Computer Operator (fill out Hardware/Software/Languages and Systems below)

Hardware

Software (other than what is listed above)

Languages

Systems

Computer Programmer (fill out Hardware/Software/Languages and Systems below)

Hardware

Software (other than what is listed above)

Languages

Systems

Networking

Systems Analyst

Other

Marketing

Sales

Forecasting

Survey

Other

Stenographic

Gregg Shorthand

Dictaphone

Court Reporting

Medical

Legal

Words Per Minute

Other

Industrial

Manufacturing

Shipping/Receiving

Printing

Food Service

Building Maintenance

Ground Maintenance

Warehouses

Construction

Other

Banking

Encoding

Teller

Proof Operator

10 Key

Verify

Microfilm/Fiche

Customer Service

Collections

Other

If you wish someone to be notified in case of an emergency, please complete the following:

Name

Address:

Phone (H) : (W)

Have you been working with an employment consultant or do you know to whom this application should be delivered?

I affirm that the facts set forth in my application are true and complete and that any false statements are grounds for dismissal if I am offered employment. I give permission for Bernard Personnel to verify my employment references. I understand that if I am offered temporary employment, I will be working for Bernard Personnel on its payroll at its clients' offices. The only deductions from my salary will be those required by law to be deducted by employers. I agree to notify Bernard Personnel either by mail or telephone within 48 hour of termination of each job assignment. If I fail to give such notice, Bernard Personnel may assume that I am not available for employment.

Please type AGREE if you agree with the above statement and hit the submit button below

Please do not hit the submit button twice. There will be a delay but you will be redirected to a confirmation page within 10-60 seconds.

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