Registration: Basic Contracting Services Shiftboard

If you have not yet registered for access to our online scheduling system, please complete the following form.

* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
2. Are You at least 21 Years of Age?
 Yes  No
3. Have You Ever Been Convicted of a Crime?
 Yes  No
If You Answered Yes to Question Number 3, Please Explain:

Have You ever Applied for Employment with Us?
 Yes  No

Job Interest

Date Available for Employment
Position Applied For (Be Specific)
Employment Status
What is the Minimum Salary Acceptable

EDUCATION
High School - Name of School & Location
Diploma / No. of Credits



College or University - Name of School & Location
Diploma / No. of Credits
Major
Minor



Graduate School - Name of School & Location
Diploma / No. of Credits
Major
Minor
Technical, Trade, Professional or Military Schools - Name of School & Location
Diploma / No. of Credits
Major
Minor



Business Schools - Name of School & Location
Diploma / No. of Credits
Major
Minor

List By Descriptive Title (Not Course Number) any Courses that You Have Taken and Any Equipment that You Can Operate That are Applicable to the Job Areas In Which You are Interested.

1. Subject or Equipment
Credit
Grade

2. Subject or Equipment
Credit
Grade

3. Subject or Equipment
Credit
Grade

4. Subject or Equipment
Credit
Grade

ORGANIZATIONS
Membership in Professional or Civic Organizations (Exclude those which may Disclose Your Race, Religion or Natural Origin)

MILITARY

Complete Below If You Served in United States Armed Forces

Branch of Service
Describe Your Duties and Special Training
Are you a VET?
 Yes  No

EMPLOYMENT HISTORY
Employer's Name (Most Recent First - Volunteer/Unpaid Services Are Acceptable)
Address
City
State
Zip
Job Titles and Duties (Include Specific Skills to Perform Duties Outlined)
Dates Employed (From - To)
Final Salary
Supervisor's Name & Phone Number
Reason For Leaving



Employer's Name (Volunteer/Unpaid Services Are Acceptable)
Address
City
State
Zip
Job Titles and Duties (Include Specific Skills to Perform Duties Outlined)
Dates Employed (From - To)
Final Salary
Supervisor's Name & Phone Number
Reason For Leaving
Employer's Name (Volunteer/Unpaid Services Are Acceptable)
Address
City
State
Zip
Job Titles and Duties (Include Specific Skills to Perform Duties Outlined)
Dates Employed (From - To)
Final Salary
Supervisor's Name & Phone Number
Reason For Leaving

REFERENCES
1. Name and Occupation
Address
Telephone Number

2. Name and Occupation
Address
Telephone Number
3. Name and Occupation
Address
Telephone Number



Thank you for your interest!
 
 
Frisco, Texas 75034
469-3310009
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