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Create Your Online Application

Simply fill out this form to create your online application. Once we receive your information, a representative will contact you to discuss the details of your application.


Your Contact Information

Please enter your name:
Please enter your email address:
Please enter your phone number:
(ex. 555-555-5555)
Which way would you prefer for us to contact you? Phone
Email

Business Information

Business Name:
Business Address:
City:
State:
Zip Code:
Business phone number:
(ex. 555-555-5555)
Do you want your full business address to be displayed on your application or just the city and state? Full Address
City and state only
Do you want your business phone number to be displayed on your application? Display
Don't Display
Would you like your logo to be displayed on your description and application pages? Yes
No
How many new employees do you typically hire per month? 1 to 3
4 to 6
7 to 9
10 or more
How were you referred to us?
Please tell us what you would like your description page to tell applicants. This should be any information that you would provide in a first interview to inform applicants about your company and it's goals, vision, and general market information. This section can be as long or as short as you like, so go crazy!

Customize Your Application

Applicant Name: Required
Applicant Email Address: Required
Applicant Phone Number: Required
Applicant Address: Required
Would you like applicants to indicate what position they are applying for? Yes
No
Would you like applicants to indicate their required hourly pay or salary? Yes
No
Would you like applicants to input their social security number? Yes
No
Would you like applicants to indicate whether they prefer to be contacted by phone or email? Yes
No
Would you like to know how long the applicant has lived at their present address? Yes
No
Would you like to know what the applicant's previous address was? Yes
No
Would you like to know if the applicant is at least 18 years of age? Yes
No
Would you like to know if the applicant is at least 21 years of age? Yes
No
Would you like to know what the applicant's schedule availability is? Yes
No
Would you like to know how many hours the applicant can work per week? Yes
No
Would you like to know if the applicant wants to work full-time, part-time, or either? Yes
No
Would you like to know what date the applicant can start work? Yes
No
Would you like to know the applicant's educational history? Yes
No
Would you like to know if the applicant has ever been convicted of a crime? Yes
No
Would you like to know if the applicant has reliable transportation to and from work? Yes
No
Would you like to know if the applicant has had any traffic violations or accidents in the past year? Yes
No
Would you like the applicant to list three personal references? Yes
No
How far back do you want to collect employment history? 3 employers
4 employers
5 employers
6 employers
Would you like the applicant to be able to paste a copy of their resume? Yes
No

Additional Information

Please tell us what questions you would like to ask applicants. These questions should help you to determine whether or not the applicant meets the job qualifications. Ask as many as you need to in order to schedule effective interviews:
Please list any questions you have about our service. We will respond to these questions shortly:
Thank you for your interest in easyworkapplication.com. We look forward to speaking with you soon. Please click "Submit" to send us your information: