Are you at least 18 years of age and do you have the legal right to work in the United States? Yes   No

How did you hear about us?  
First Name *
Middle Name
Last Name *
Nickname / Preferred Name
Street Address / Apartment *  
City *
State / ZIP Code *   
Home Phone * - Area code and phone number
Cell Phone - Area code and phone number
Other Phone - Area code and phone number
Email Address *
SSN   - -
Have you worked for Logic Staffing before?  
Emergency Contact Name  
Emergency Contact Phone  
Do you have a Drivers License?  
Driver License Number / State (or NONE)
    
If you do not have a Drivers License or State ID, please select None for the State above
Resume - If you have a plain-text resume, paste it into the box below. 

Please select the primary county in which you are interested in working: *
Do you have your own form of indepenedent transportation?  
What is your shift preference?
Can you work overtime and weekends?
When are you available to start?      
What is the minimum pay you require? Hourly rate or annual salary

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

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

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

List most recent first

Company Name
Street Address
City
State / ZIP Code   
Phone - Area code and phone number
Supervisor Name
Supervisor Title  
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
Reason for Termination
Termination Comments
May we contact this employer for a reference check? Yes

Company Name
Street Address
City
State / ZIP Code   
Phone - Area code and phone number
Supervisor Name
Supervisor Title  
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
Reason for Termination
Termination Comments
May we contact this employer for a reference check? Yes

 

Logic Staffing complies with all ITAR, C-TPAT and FTZ regulations. A conviction will not necessarily bar you from employment and will be considered only if it relates to the job duties and insurance bonding purposes.
Have you been convicted of a crime in the last 7 years, other than a minor traffic violation? *
Are you willing to take a drug screening test?   Yes No

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Logic Staffing to hire me. If I am hired, I understand that either Logic Staffing or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Logic Staffing has the authority to make any assurance to the contrary.

I attest with my initials below that I have given to Logic Staffing true and complete information on this application. No requested information has been concealed. I authorize Logic Staffing to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

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.
Initials:*   

Logic Staffing is an equal opportunity employer. Logic Staffing does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment,) sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.