2020 Work Stoppage Application
THANK YOU very much for your interest in working with InSync. Please take 3 minutes to tell us a little about yourself. Once we get more details about the opportunity, we will be in contact with you to fill you in on the project.
First Name
Your answer
Last Name
Your answer
Cell Number
Your answer
Re-Confirm Cell Number
Your answer
Alternate Phone Number
Your answer
Email Address
Your answer
Re-Confirm Email Address
Your answer
Mailing Address, Street
Your answer
Mailing Address, City
Your answer
Mailing Address, State
Your answer
Mailing Address, Zip Code
Your answer
What Position Are You Applying For:
Materials Handing - Warehouse workers / Inventory Supply / Receiving Clerks
EVS (Environmental Services) / Janitorial / Housekeeping
Medical / Clerical / Admin Support
Food Handling / Food Prep / Cooks
Do you have any active licenses or certifications that help better qualify you for the position that you are applying? Example: CPR Certification, Food Handling Card...etc. If you possess any, please list them here:
Your answer
Do you have experience in working in a healthcare facility?
Yes
No
Clear selection
What Shift Would You Prefer To Work?
7am-7pm
7pm-7am
Please List The Languages You Are Fluent In:
Your answer
Are You Willing And Able To Work 60 Hours Per Week? (40 reg, 20 OT)
Yes, I Am A Work Horse
No, That Is Too Much For Me
I Can, But..........
How Did You Hear About This Opportunity?
LinkedIn
Facebook
Job Board
If You Were Referred By Someone, Please Let Us Know Who So We Can Thank Them With A $50 Referral :-)
Your answer
Are You Eligible To Work In The US?
Yes
No
Clear selection
Can you pass a 10 panel drug test? (This will include THC)
Yes
No
Clear selection
Can you pass a 7 year background check?
Yes
No
Clear selection
Please Provide The Name, Cell, And Email Of Your Emergency Contact:
Your answer
Any Other Information About You Or Your Background That Will Be Helpful In Our Screening Process?
Your answer
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