Employment Services Intake Form: Job Seekers
We're here to support you in your journey to find employment. Please feel free to reach out with questions. Visit www.semirosas.com/employment-services-job-seekers or email Angela.Leon@semirosas.com
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1) First Name *
2) Middle Name
3) Last Name *
4) Email Address *
5) Phone
6) Cell Phone
7) Job(s) of Interest *
Please check all that apply.
Required
8) State where you wish to work *
Please check all that apply.
Required
9) City where you wish to work *
Please list the cities separated by commas.
10) Preferred Work Schedule *
Please select all that apply.
Required
11) Total hours you wish to work daily *
Please select one.
Required
12) Which days of the week do you prefer?
Please select all that apply.
13) Language(s) Spoken Fluently *
Required
14) When are you available to begin working? *
MM
/
DD
/
YYYY
15) Desired hourly rate *
16) Please email your resume in PDF format to Angela.Leon@semirosas.com *
Type YES below if you emailed the resume to Angela.Leon@semirosas.com and added your name in the subject line of the email.
17) How did you hear about us? *
If applicable, please share the NAME and ORGANIZATION of the person that referred you. Add this information under 'Other'.
18) By submitting this form, I give Semirosas and its representatives permission to share my information with anyone who may facilitate an interview for a position. I also hereby acknowledge that filling out this form does not guarantee me employment. *
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