Pre-Application
About You
*First name
(Primer Nombre)
Middle initial
Inicial del Segundo nombre
*Last name
(Apellido)
*Applicant Address
(Dirección postal)
*City
(Ciudad)
*State
(Estado)
-USA-
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*Zip
(Codigo postal)
*Social Security Number
(SSN)
Home Phone
(Numero de Teléfono)
*Cell Phone
(Teléfono móvil)
*Email
(Correo Electrónico)
Hourly Rate Preferred
Tarifa por hora preferida?
*Are you 18 years or older?
*Tiene usted 18 años de edad?
Yes
No
*Are you eligible for employment in the USA?
*Es usted un empleo elegible en los Estados Unidos?
Yes
No
*How long have you lived in CT?
*Cuanto tiempo has vivido en CT?
Choose
Less than 1 Year
1-3 Years
3-5 Years
5-10 Years
Whole Life
How did you hear about us?
Como supiste de nosotros?
Other
CareerBuilder
Indeed
CraigsList
Other Online Job Board
Facebook
LinkedIn
Google Search
Job Fair
Employee Referral
Company Website
Walk-in
Monster
Emergency Contact
(Correo Electrónico)
Phone
(Numero de Teléfono)
Availability
Select all that apply
Full-Time
Part-Time
1
st
Shift
2
nd
Shift
3
rd
Shift
Busline Only
Has Car
Skills & Experience
Office
Select all that apply
General Office
Administrative Assist.
Customer Service
Data Entry Clerk
Executive Assistant
Receptionist
Accounting
Accounting Clerk
Bookkeeper
Controller
Payroll
Light Industrial
Select all that apply
Manufacturing
Assembly
Machine Operator
Mechanical Assembler
Production Worker
Set Up / Machinist
Warehouse
Forklift
Hand Truck
Picker / Packer
Shipping & Receiving
Tow Motor
Facility Maintenance
Building Maintenance
Carpenter
Custodian / Janitorial
Handyman
Painter
Welding
ARC
Blueprints
Fabrication
Mig
Tig
Supervisory / Management Skills
Office Manager
Production Manager
Sales Manager
Supervisor
Warehouse Manager
Education
Select all that apply
Education
High School
GED
College
Technical School
Resume & Work History
Attach your resume. (Optional)
PDF / Word / Text Format
No Resume? Please fill out work history
Share your recent work history
Company Name (current / Most recent)
State
-USA-
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
To Date
From Date
Job Title / Position(s)
Reason for leaving?
Company Name (second most recent)
State
-USA-
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
To Date
From Date
Job Title / Position(s)
Reason for leaving?
Company Name (third most recent)
State
-USA-
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
To Date
From Date
Job Title / Position(s)
Reason for leaving?
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