Advantage Employment

Qualification Form

We’re always looking for talented individuals. Simply fill out each field of our qualification form. If you have any questions please feel free to give us a call or for a printable version of our application form click on the link below.

print our application form

Personal Data

Last Name *
First Name *
Middle *
Address *
City *
State *
Zip *
Primary Phone *
Secondary Telephone
Email *
Are you a citizen of the Unitied States? *
No Yes
Are you 18 years of age or older? *
No Yes
Driver's License Number *
State *
Expiration Date *

Criminal History

Have you ever been convicted of a crime?
No Yes
If "Yes," please explain (first offense):
City
State
Date
Disposition
(second offense):
City
State
Date
Disposition
(third offense):
City
State
Date
Disposition

Driving Record

Do you currently possess a valid Driver's License: *
Yes No
Please list all moving violations incurred with the last 3 years (first violation):
Date
Charge
Disposition
(second violation):
Date
Charge
Disposition
(third violation):
Date
Charge
Disposition

Education

High School
City
State
# of Years
Major/Degree
College
City
State
# of Years
Major/Degree
Graduate
City
State
# of Years
Major/Degree
Vocational
City
State
# of Years
Major/Degree

Licensing / Registration

Type
State
Number
Expiration
Type
State
Number
Expiration
Type
State
Number
Expiration
Type
State
Number
Expiration

Employment 1 (list in order from most recent)

Company Name 1
From
To
Address
Supervisor's Name
City
State
Zip
Telephone
Job Title
Job Description
Reason For Leaving
Wages
Hourly Weekly Annually
May we contact your employer?
Yes No

Employment 2

Company Name 2
From
To
Address
Supervisor's Name
City
State
Zip
Telephone
Job Title
Job Description
Reason For Leaving
Wages
Hourly Weekly Annually
May we contact your employer?
Yes No

Employment 3

Company Name 3
From
To
Address
Supervisor's Name
City
State
Zip
Telephone
Job Title
Job Description
Reason For Leaving
Wages
Hourly Weekly Annually
May we contact your employer?
Yes No

Employment 4

Company Name 4
From
To
Address
Supervisor's Name
City
State
Zip
Telephone
Job Title
Job Description
Reason For Leaving
Wages
Hourly Weekly Annually
May we contact your employer?
Yes No

Employment 5

Company Name 5
From
To
Address
Supervisor's Name
City
State
Zip
Telephone
Job Title
Job Description
Reason For Leaving
Wages
Hourly Weekly Annually
May we contact your employer?
Yes No

Employment Details

Have you ever been fired or asked to resign? If yes, please explain.

Military Service

Branch 1
Duties
Years
Branch 2
Duties
Years
Branch3
Duties
Years

Skills

Words-per-minute typing *
What computer operating systems are you familiar with? *
What word processing programs are you familiar with? *
Please list additional skills that would qualify you for this position.

Professional References

Reference Name 1 *
Title *
Company *
Telephone *
Professional Relationship *
Reference Name 2 *
Title *
Company *
Telephone *
Professional Relationship *
Reference Name 3 *
Title *
Company *
Telephone *
Professional Relationship *

Resume

Please save your resume as a pdf before uploading. (help)