Career Solutions Update Application Step 1 of 4 25% TEC/Career Solutions is an equal opportunity employer. All applicants meeting our occupational qualifications and who can perform the essential functions of the job applied for will be provided employment opportunities without regard to race, color, religion, gender, age, national origin, disability, military status, sexual orientation or any other classification protected by federal, state or local law.Confidential InformationWe are committed to your privacy and protection of your personal information. We will not sell or rent personally identifiable information to any third party for any purpose.Your Home Office*Fort SmithRemote WorkerFayettevilleRogersClarksvilleRussellvilleConwaySearcyPlease select the TEC location you wish to use as your home office. This is where you will interact and receive your pay.Date* MM slash DD slash YYYY Name* First Middle Last Other Name/s Used First Middle Last Email Home Phone*Cell PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employment Agreement* I agreeI certify that the information submitted on this application is accurate. I hereby grant TEC/CPR permission to verify my employment, education and credit history and to solicit and secure other information which may be required to determine my suitability for employment. A copy of this authorization bearing my signature has the same force and effect as the original. I understand that I may be subject to random drug testing by TEC/CPR or its client companies and consent to be tested randomly or after any on the job accident or injury. I further consent to have the results of my drug test released to any company that may request this information and release TEC/CPR and/or its agents from any and all liability arising from the release of this information. I understand that Arkansas and Oklahoma are "at will" employment states and that I may be terminated at any time at the discretion of my employer, with or without cause. If I have an unexcused absence, walk off, or leave a job early, I will be subject to minimum wage for that week. I understand that I must notify TEC/CPR of all on the job injuries at the time of injury. Initial reports may be made by telephone, but a written report must be filed at the TEC/CPR office by 5:00 p.m. the next day. Weekend accident reports should be called in to TEC/CPR immediately and then a written report must be filed by 5:00 p.m. on Monday. Seeking medical treatment before notifying TEC/CPR will result in paying your own medical bills until notifying TEC/CPR in writing (AR Stat. 81-1317). TEC Staffing Services and CPR are a temporary service and for that reason is unable to guarantee to keep me busy all the time I might be available. With that in mind, I wish temporary work rather than permanent. I understand and agree to contact TEC/CPR within 24 hours and on a daily basis after completing any assignment to determine if other work is available for me. Otherwise, TEC/CPR may assume I am terminating my employment with them. I understand that failure to contact TEC/CPR as agreed will result in denial of unemployment benefits. This agreement will remain in force indefinitely, until reevaluation is deemed necessary by TEC/CPR. Signature____________________________________Date:____________Code of Conduct* I agreeTEC/CPR is strongly committed to providing quality service to its client companies. In furtherance of this commitment, each TEC/CPR employee is required to be productive, reliable and trustworthy. To assist employees in meeting these requirements, TEC/CPR provides the following list of conduct, which is prohibited and will subject an employee to disciplinary action, up to and including termination. This is not an exhaustive list of every form of conduct (list is subject to modification): Distribution, possession or use of alcohol or any illegal drug while on duty at the work site is prohibited. Reporting to work or performing duties while under the influence of alcohol or any illegal drug is prohibited. The term “illegal drug” includes but is not limited to marijuana and any prescription drug used in contravention of a physician’s orders. If the company determines that your use of a prescription drug impacts your ability to safely perform the essential functions of your job assignment or poses a risk to others, reasonable accommodations will be considered. Unauthorized possession, use, or removal of company property. Falsification or misrepresentation of any company document, including but not limited to, the TEC/CPR application for employment, workers compensation claim, payroll records and post hire questionnaire. Violating TEC/CPR or company rules regarding confidentiality or information and materials received by the employee in the course of performing job duties. Sexual harassment or any other form of harassment or intimidation of co-workers or other individuals at the work site or while engaged in company business. Possessing firearms, explosives or other weapons while at the work site or engaged in company business. Individuals with a concealed weapons permit are subject to this prohibition. Inappropriate behavior including but not limited to fighting, horseplay, language, practical jokes or pranks at the work site that would reflect negatively on TEC/CPR and TEC/CPR employees. Failing to follow prescribed call-in procedures in the event of absence/tardiness. One unexcused absence, or one no show with call (not showing up after accepting an assignment but notifying TEC/CPR within a half hour before or after starting time). Being late for work, walking off the job, not calling in when not showing up for an assignment you accepted. Failing to follow any other policies/procedures established at the employee's work site. Insubordination to TEC/CPR staff, co-workers or other individuals at the work site or while engaged in company business. Inadequate or substandard work performance. Failure to report an accident/injury, at the time of the injury, to TEC/CPR on the 24 Hour Injury Line. Signature________________________________________Date________Consent for Reference & Background Checking* I agreeI hereby grant TEC/Career Solutions permission to verify my employment history, solicit or secure other information, and perform a background check. These may be required to determine my suitability for employment. A copy of this authorization bearing my signature has the same force and effect as the original. I further consent to have the results released to any company that may request this information and release TEC/Career Solutions and/or its agents from any and all liability arising from the release of this information. I also acknowledge that I have received a copy of the Health Insurance Marketplace Coverage Form. I______________________________, hereby give consent to any and all previous employers of mine to provide information regarding my employment with previous employers to TEC/Career Solutions. This consent is given in accordance with ACT 474 of the 1999 General Assembly of the State of Arkansas. Date of Release:_______________________ Signature:_____________________________________________________ Social Security Number_______________________________________Are you authorized to work in the U.S.A.* Yes No How did you hear about TEC Staffing*Please SelectGoogleFacebookCraigslistIndeedFriend / RelativeJob Fair / Hiring EventSign / Billboard / FlyerOtherWalk inWeb SiteOther Source Drivers Lic Number To be used in the event driving is required as part of the essential duties of the jobState Issuing Drivers License Expiration Date of License MM slash DD slash YYYY How many tickets have you had in the last 3 years? Type of transportationPlease SelectCarPublic TransportationWalkBikeOtherHave you applied with TEC Staffing Services before?* Yes No Date MM slash DD slash YYYY Minimum Pay Rate Acceptable* Please enter a per hour rate. We want to meet your expectation.Shifts available to work? 1st 2nd 3rd Weekend Available to work? Full Time Part Time Temporary Temp to Hire Have you ever been convicted of any law violation other than a minor traffic violation?* Yes No Criminal convictions are not an absolute bar to employment.Please ExplainDate of Conviction MM slash DD slash YYYY Charge & StatusMisdemeanorFelonyCurrently on ProbationEmergency Contact Information* First Last Emergency Contact Phone*Emergency Contact Address Street Address City State ZIP / Postal Code EducationName of High School Attended Graduate or GED* Yes No Name of College/s Attended Graduate Yes No Course of Study Hours Completed Certifications, Diplomas, or Specialty TrainingPlease list any additional, Certifications, Diplomas, or Specialty Training you have completed. Work HistoryCompany Name 1* Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State From Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Supervisors Name First Last PhoneTitle and Job DutiesReason for leaving Salary List Employer 2? Yes Company Name 2 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State From Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Supervisors Name First Last Supervisors PhoneTitle and Job DutiesReason for leaving Salary List Employer 3? Yes Company Name 3 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State From Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Supervisors Name First Last Supervisors PhoneTitle and Job DutiesReason for Leaving Salary List Employer 4 Yes Company Name 4 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State From Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Supervisors Name First Last Supervisors PhoneTitle & Job DutiesReason for Leaving Salary List Employer 5 Yes Company Name 5 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State From Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Supervisors Name First Last Supervisors PhoneTitle & Job DutiesReason for Leaving Salary Skills and ExperiencePlease select experience that is represented in your previously listed work history.Engineering Chemical Civil Electrical Industrial Mechanical Surveying Be sure to select only the expertise in which you have Verifiable work history and/or education.Drafting Computer Aided Design Civil Electrical Mechanical Be sure to select only the expertise in which you have Verifiable work history and/or education.Foreign Languages French Laotian Spanish Vietnamese Be sure to select only the expertise in which you have Verifiable work history and/or education.Legal Paralegal Legal Secretary Be sure to select only the expertise in which you have Verifiable work history and/or education.Accounting General Ledger Taxes Bookkeeper Collections Accounts Payable Accounts Receivable Billing Loan Processor Payroll Financial Statements Teller Accountant Inventory Bank Rconciliation Quarterly Reports Full Charge Bookkeeper Cost Accounting Spreadsheets Be sure to select only the expertise in which you have Verifiable work history and/or education.Insurance Group Health Worker's Compensation Home, Fire, Auto, Life Licensed Agent Automotive Commercial Be sure to select only the expertise in which you have Verifiable work history and/or education.Professional Drafting Engineering Technical Writer Personnel/Human Resources Real Estate Desktop Publishing Programmer Purchasing Outside Sales Internet Web Design Be sure to select only the expertise in which you have Verifiable work history and/or education.Clerical Filing Research Be sure to select only the expertise in which you have Verifiable work history and/or education.Secretarial Shorthand Executive Transcribe/Dictaphone Administrative General Legal Legal Transcription Be sure to select only the expertise in which you have Verifiable work history and/or education.marketing Telemarketing Outside Sales Customer Service Be sure to select only the expertise in which you have Verifiable work history and/or education.Areas of Experience Automobile Titles Notary Public Lab Tech Safety Training Quality Control Chemical Lab Dispatching Inventory Research Retail Accounting Shipping/Receiving Be sure to select only the expertise in which you have Verifiable work history and/or education.Publishing Printing Graphic Art Be sure to select only the expertise in which you have Verifiable work history and/or education.Electronics Design Be sure to select only the expertise in which you have Verifiable work history and/or education.Food Service Bartender Cook Waiter Waitress Cashier Be sure to select only the expertise in which you have Verifiable work history and/or education.Medical ICD-9 CM Coding Medicare/Medicaid Billing Medical Terminology Medical Transcriptionist Dental Assistant Medical Insurance Medical Records Optical Be sure to select only the expertise in which you have Verifiable work history and/or education.Data Processing Programmer Be sure to select only the expertise in which you have Verifiable work history and/or education.PC Software MS Power Point MS Excel MS Outlook MS Word QuickBooks Be sure to select only the expertise in which you have Verifiable work history and/or education.Call Center Customer Service Sales Be sure to select only the expertise in which you have Verifiable work history and/or education.Other Experience, Work History, or Education If you have experience not listed above please enter it here.ReCaptchaCommentsThis field is for validation purposes and should be left unchanged.
