Personal Information

Are you at least 18 years of age and do you have the legal right to work in the United States?
Yes No
First Name (Required)
Middle Name
Last Name (Required)
Nickname / Preferred Name
Street Address (Required)
State / ZIP Code     
Cell Phone (Required) - Area code and phone number
Home Phone - Area code and phone number
Email Address
Social Security Number --

Resume - If you have a plain-text resume, paste it into the box below.



When are you available to start?     
What weekday hours are you available?
What weekend hours are you available?
How many hours are you willing to work in a week?  
Are you willing to work overtime?
Yes No
How much notice will you need if a position is offered to you?
How many miles are you willing to travel to a position?


Enter most recent - Do not enter start and end date if the most recent is high school

Name of Institution
Type of Institution  
Street Address
State / ZIP Code   
Start Date (Month / Year)   
End Date (Month / Year)   
Major Study Area
Other Studies

Recent Employment

Most Recent Employer - Do not enter start and end date if the most recent is high school
(All Fields are Required)

Company Name
Street Address
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties and reason for Leaving  
Start Date (Month / Year)      
End Date (Month / Year)    
May we contact this employer for a reference check?
Yes No


I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person or entities from all liability for damages for issuing such information.

When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested.

I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time.

I am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the employer to inform me that a routine inquiry may be made that will provide applicable information concerning my character, my general reputation, my personal characteristics and my credit history. Upon written request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

Please take a moment to review your application.  Indicate that you have read the above statement by entering your initials in the box below.  To complete this application, click on the Submit Application button.

Hammes Staffing is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Hammes Staffing depends solely on your qualifications.