Registration: Popular Staffing

If you have already registered for access to our online scheduling system and you have already received your welcome email message with your temporary password, please sign in using that password. 

If you have not completed this form, thank you for taking a moment to complete and submit the following details.

Thank you for your patience, it might take a few hours or days until your registration has been processed.

* required field

Employee Details
* Social Security Number:
How long at your current address above?
If less than 7 years, please provide additional addresses:

School History
Are you a High School graduate or have a GED?
 Yes  No
 Yes  No
If yes, please list the name of the college(s) you attended, city & state, area studied, and degree(s) received:

Job History
Most recent employer: Company, Address, Phone Number, Position, Dates, Pay Rate, Supervisor Name, Responsibilities, Reason for Leaving:
If less than 7 years, please provide previous employers:
How many jobs have you held in the past 2 years?
Have you ever been fired or discharged from a job?
 Yes  No
If yes, please explain
Have you been out of work for more than 6 months in a row?
 Yes  No

Employment Details
What job skills do you have:
What kind of work are you looking for?
Work Type:
Full Time
Part Time
What date can you start?
What pay rate are you looking for?
Shift desired:
Days you can work
Can you work overtime?

Supplemental Info:
Do you have reliable transportation to get to work?
 Yes  No
What is your current Driver's License Number?
Drivers License State
Please list any other states where you have held a driver's license in past 7 years:
Has your Driver's License ever been revoked or suspended?
 Yes  No
Do you have any Felony Convictions?
 Yes  No
If yes, please explain when, what type and other circumstances:
Are you at least 18 years old and eligible to work in the U.S.?
 Yes  No
Please provide the name, phone number and email address for at least one professional reference and one personal reference:

By clicking "SUBMIT" below, all parties agree that this is not a contract, but is serving as an evaluation tool and you authorize us to perform any data gathering or background check we require. You will be forwarded your login credentials once your account has been approved. Any formal relationship between the parties will require additional documents to be signed in person, and may be contingent upon submission of additional information (e.g., documentation and/or successful drug screening results).

It is our policy to be an equal opportunity employer and to only work with those companies and individuals who share that goal. We do not discriminate on the basis of sex, race, religion, color, national origin, age, disability, or other protected classes under local, state, or federal laws.

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We appreciate your time and interest



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