Online Application

  In order to better assist you in your job search, please provide work history below OR send a copy of your resume to jobs@thehiresource.com (Please use MS-Word format). Please include salary requirement and commute proximity.




 

First Name: MI: Last Name: Address: City:     ST: Zip: (ie 55555 or 55555-5555)
Phone Number:
 (ie 555-555-5555 or 5555555555)  
Cell Phone Number: (ie 555-555-5555 or 5555555555)  
Email Address:
Position Applying for: How far will you travel:          Salary Desired:

What hours/shifts are you available to work? Are you available to work overtime? Yes No

Education

High School Name: City: State: Years Completed:

College Name: City: State: Years Completed: Degree(s) Earned:

Graduate School: City: State: Years Completed: Degree(s) Earned:

Technical School: City: State: Years Completed: Degree(s)/Certificate(s) Earned:

Employment History

Company: City: State: Your Title: Dates Employed: From To Reason for Leaving: Ending Pay Rate:

Company: City: State: Your Title: Dates Employed: From To Reason for Leaving: Ending Pay Rate:

Company: City: State: Your Title: Dates Employed: From To Reason for Leaving: Ending Pay Rate:

Company: City: State: Your Title: Dates Employed: From To Reason for Leaving: Ending Pay Rate:

 

 

 

 
 
The Hire Source 24 Wooster Avenue Waterbury, CT 06708 203.757.4000 Fax 203.759.7145