Shiftboard: Servicenet Inc Shiftboard Registration

Application for Employment - Relief

The relief position is 'on call, and on an as needed basis'. Interviews, and any subsequent shifts offered will be subject to agency availability.

All shifts will be provided via text messages or email.

* required field

* First Name

* Last Name

* Email

Primary/Home Phone

Mobile Phone

Address

City

State

Zip Code

Resume

First Reference Name

First Reference Relationship

First Reference Company Name

First Reference Phone

First Reference Email

Dates of Employment

Second Reference Name

Second Reference Relationship

Second Reference Company

Second Reference Phone

Second Reference Email

Dates of Employment

Third Reference Name

Third Reference Relationship

Third Reference Company

Third Reference Phone

Third Reference Email

Dates of Employment

Name of School - City, State, Course of Study, Years Completed, Diploma Degree

Indicate any foreign languages you can speak, read, and/or write. (Please label each Fluent, Good, or Fair.)

Describe any specialized training, apprenticeship, skills, and extra-curricular activities.

Describe any job-related training received in the United States military.

List professional, trade, business, or civic activities and offices held. (You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status.)

Other qualifications. Summarize special job-related skills acquired from employment or other experience.

State any additional information you feel may be helpful to us in considering your application.

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Thank you for your interest!

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