Address: 200 Clinton Ave. Suite 600 Huntsville, AL 35801
200 Clinton Ave W Suite 600 | Huntsville, AL 35801 256-327-3420 Office | cmshsv.com
Are you a citizen of the United States?
Are you authorized to work in the U.S.?
Do you have a valid Driver's License?
Do you have your own vehicle?
Do you have a valid I.D.?
Have you ever been convicted of a felony?
Have you served in the military?
How many hours are you willing to work a week?
When are you available to work? *Multiple shifts available
College / University
PERSONAL / PROFESSIONAL REFERENCES
PRIOR WORK EXPERIENCE
Current / Most Recent
DISCLAIMER AND SIGNATURE
Provide your signature in the area below to insert in appropriate lines.
By Signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired.
AUTHORIZATION FOR RELEASE OF INFORMATION
I, , hereby authorize Quadrus Corporation to obtain a drug screen report, a criminal background report and to verify any and/or all information on my application for use in determining my qualifications for employment. I understand this information is confidential and will be used only for employment screening purposes. I hereby give my employer Quadrus Corporation consent to record, videotape, and photograph my image and/ or voice to be used for marketing purposes. I further understand that no special compensation will be provided to me for use of my image and that I may not be informed in advance of the specific use of my image. Quadrus Corporation has consent to use my image if I am no longer employed with Quadrus Corporation.