Employment Application – Perma-Temp Personnel Services, Inc.

Employment Application

Please choose the nearest Perma-Temp office to you.

Select the Brownsville Job that you are interested in.

Select the Harlingen Job that you are interested in.

Select the Edinburg Job that you are interested in.

Select the Laredo Job that you are interested in.

PERSONAL INFORMATION

Are you employed now?

YES

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Do you have reliable transportation?

YES

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EDUCATION

Did you attend High School?

YES

High School Name

Did you graduate from this High School?

YES

Did you attend a College or University?

YES

College or University Name

Did you graduate from this College/ University?

YES

Do you have Other Education?

YES

School Name

Did you graduate from this school?

YES

Do you have Military Experience?

YES

Service Branch

Years of Service

Draft Status

Reserve Status

FORMER EMPLOYERS

List below three (3) previous employers starting with the most current.

Employer #1

Company Name

Position Held

Supervisor Name

Reason For Leaving

Duties & Responsibilities

Ending Salary

Employer #2

Company Name

Position Held

Supervisor Name

Reason For Leaving

Duties & Responsibilities

Ending Salary

Employer #3

Company Name

Position Held

Supervisor Name

Reason For Leaving

Duties & Responsibilities

Ending Salary

EMERGENCY CONTACTS

Relation

Phone #

Relation

Phone #

Do you have any job restrictions?

YES

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Have you ever worked through a staffing agency before?

YES

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Have you worked for Perma-Temp Personnel Services before?

YES

Upload Your Resume (Optional)

Choose File

I have read and agree to the Terms and Conditions and Privacy Policy of Perm-Temp Personnel Services, Inc. I understand that I am submitting an application for employment and that all information I am submitting is accurate and true. I also understand that submitting this application does not guarantee me employment but only the opportunity to be considered for employment.

PERMA-TEMP PROFILE

PERSONAL INFORMATION

EDUCATION

FORMER EMPLOYERS

Employer #1

Employer #2

Employer #3

EMERGENCY CONTACTS