Employment Application

Arrow Staffing is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of race, color, creed, religion, sex, gender identity, pregnancy, child birth, national origin, ancestry, age, marital status, physical or mental disability, medical condition, Vietnam era veteran status, protected by law, or any other consideration made unlawful by federal, state or local laws. All such discrimination is unlawful. This commitment applies to hiring, promotion, discharge, compensation and any other terms, conditions or privileges of employment.

Stop!!!!!!!!!!!!

If you have previously applied on our website or at one of our office locations, please do not re-apply. Contact the location in which you applied by phone or email.

The field descriptions in BLUE are required.

First Name:	Middle Initial:	Last Name:
Address:	Apartment:
City:	State:	Zip Code:
Primary Phone:	Secondary Phone:
Email Address:

Personal Information
Last four digits of Social Security Number:
Will you be applying for work through the Redlands or Ontario office?
How did you hear about Arrow Staffing?

Do you have two forms of ID? (I-9 work status information: e.g., drivers license, social security card, birth certificate, etc.)				Yes No
Are you able to work in the Inland Empire geographic area?				Yes No
Are you willing to take a drug test according to our policy?				Yes No
Will you release your background information inclusive of criminal records?				Yes No
Have you ever been convicted of a felony?				Yes No

What type of work do you prefer?

What is the minimum hourly rate that you will accept?
What work hours are best for you? You may select up to two by holding the CTRL key while clicking on your selections.
In what locations are you willing to work? You may select up to two by holding the CTRL key while clicking on your selections.
Do you have reliable transportation?		Yes No
Please select your language capabilities:
Are you a veteran of the armed forces?		Yes No

Emergency Contact Information
Name:	Relationship:
Home Phone:	Cell Phone:

Employment History
Please list chronologically, beginning with most recent experience.
Please check this box if you have no job history.

Employer:	City and State:
From (MM/YYYY):	To (MM/YYYY):
Supervisor:	Phone:
Starting Salary:	Ending Salary:
Job Title:
Reason for Leaving:
Are you still working for this employer?		Yes No
May we call this employer as a reference?		Yes No
Please generally describe the duties and responsibilities of this position:

Employer:	City and State:
From (MM/YYYY):	To (MM/YYYY):
Supervisor:	Phone:
Starting Salary:	Ending Salary:
Job Title:
Reason for Leaving:
Are you still working for this employer?		Yes No
May we call this employer as a reference?		Yes No
Please generally describe the duties and responsibilities of this position:

Employer:	City and State:
From (MM/YYYY):	To (MM/YYYY):
Supervisor:	Phone:
Starting Salary:	Ending Salary:
Job Title:
Reason for Leaving:
Are you still working for this employer?		Yes No
May we call this employer as a reference?		Yes No
Please generally describe the duties and responsibilities of this position:

Education
High School:		City and State:
What grade level did you attain?

College/University:		City and State:
Diploma/Degree:		Major Course:

Trade School:		City and State:
Subject:

Application Verification and Acknowledgment:

I certify that the information contained in this application is true and correct to the best of my knowledge, and I understand that falsification and/or consequential omissions of any kind of this information is grounds for refusal to hire, or if hired, dismissal. I authorize Arrow Staffing Services to request and receive, and authorize any of the persons or organizations referenced in this application to give Arrow Staffing Services any and all information concerning my previous employment, education or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application and release all such parties from any and all liability including damage that may result in furnishing such information to you, in consideration of my being considered for employment by Arrow Staffing Services, I agree to conform to the rules and regulations stated or provided by Arrow staffing Services, and acknowledge that these rules and regulations may be changed, interpreted, withdrawn or added to by Arrow Staffing Services at any time, at its sole option and without any prior notice of change to me. I further acknowledge Arrow Staffing Services may terminate my employment, withdraw any offer of employment or terminate any temporary assignments with or without cause and/or notice at any time. I agree to notify Arrow Staffing Services each day that I am available for assignment and understand that if I fail to give such notice, Arrow Staffing Services will assume that I am not available for employment.

Check this box to certify that you have read and accept the above statement.

What type of industrial work do you prefer as your first choice?
What is your second choice?
Do you own a pair of work boots?				Yes No
Do you own a pair of steel toe boots?				Yes No

What type of office/professional work do you prefer as your first choice?
What is your second choice?

Employment Application

Personal Information

Emergency Contact Information

Employment History

Education