3918 Naco-Perrin. Suite 105.

San Antonio, Texas 78217

APPLICATION MUST BE FILLED OUT IN BLUE or BLACK INK

SOCIAL SECURITY # __________________________ APPLICATION DATE _________________

NAME _______________________________ ________________________ __________
Last First Mid. Init.

PRESENT ADDRESS _______________________________ ________________________ __________

Street City State/Zip

PHONE #’S 1)_________________________ 2)_________________________ 3)______________________

EMAIL ADDRESS _______________________________________________________________________________

How did you hear about You Got It Staffing?_____________________________________________________

Have you ever applied with You Got It Staffing?  Yes  No If Yes, When and Where
___________________________________________________________________________________________________
Are you over 18 years of age?  Yes  No Are you a U.S. Citizen?  Yes  No
What position are you applying for? _____________________________________________________________________
What hours or shifts are you
available to work?  Days  1st  2nd  3rd  Any

Minimum hourly rate desired: $_________________ Are you flexible?  Yes  No

Preferred Locations: __________________________________________________________________

Transportation methods available:  Own  Bus Line  Other __________________________

When would you be available to
start work? __________________________________________________________________

Do you have a valid driver’s license?  Yes  No Do you have a Class

CDL License?  Yes ______  No
In case of emergency, whom should
we call? __________________________________________________________________
Name Phone Number Relationship

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR PLEAD NO CONTEST TO A FELONY OR BEEN
CONVICTED OF A MISDEMEANOR RESULTING IN IMPRISONMENT OR A FINE OVER $500.00 (Convictions will not
necessarily disqualify you for employment.)
 YES (If yes, please provide details and dates)  NO
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
 WORK EXPERIENCE
YOU MUST ACCOUNT FOR ALL TIME SINCE LEAVING HIGH SCHOOL INCLUDING TEMPORARY JOBS.
LIST YOUR LAST FOUR EMPLOYERS STARTING WITH THE MOST RECENT ONE FIRST.
COMPANY NAME, POSITION & DETAILED CAN WE SALARY/
MONTH/YEAR ADDRESS & CITY JOB DESCRIPTION CALL FOR A WAGES
REFERENCE
From: Company:
Mo/Yr Street: Yes Starting
City:
Phone:
To: Supervisor Reason for Leaving No Ending
Mo/Yr Type of Business

From: Company:
Mo/Yr Street: Yes Starting
City:
Phone:
To: Supervisor Reason for Leaving No Ending
Mo/Yr Type of Business

From: Company:
Mo/Yr Street: Yes Starting
City:
Phone:
To: Supervisor Reason for Leaving No Ending
Mo/Yr Type of Business

From: Company:
Mo/Yr Street: Yes Starting
City:
Phone:
To: Supervisor Reason for Leaving No Ending
Mo/Yr Type of Business

EDUCATION & TRAINING

High School Name of School Circle Year Completed Graduated:
1 2 3 4 Year ______
City: Yes No
Business/Trade Name of School 1 2 3 4 Year:
School Subjects DEGREE/CERTIFICATE
City: Yes No

Community/ Name of School 1 2 3 4 Year:

University Subjects DEGREE/CERTIFICATE
College City: Yes No

Military Branch Reason for Leaving:

REFERENCES
Name Phone Number Relationship
 INTERVIEW QUESTIONS

Are you registered with any other services?  Yes  No Who?

Which of your previous jobs did you like the best and the least?
Best: Why?

Least: Why?

What do you look for in a company/position?

 Large  Small Company  Fast  Slow Paced  Temp to Perm  Temp
 Formal  Casual Dress  Supervised  Unsupervised  Full Time  Part Time

What Distance are you willing to travel?  Under 5  5-10  10-15  15-20  Over 20
Miles Miles Miles Miles Miles

Roughly, how much work did you miss in your last position?

Are you available for overtime and Weekends?  Yes  No Overtime Limitations:

Do you need benefits?  Yes  No Are they a must?  Yes  No

Realistically, where do you see yourself in the future?

1 year from now:

5 years from now:

What is an accomplishment that you are most proud of?

Do you have any special skills other than those listed in your Job History?

List any Family or Friends that may be looking for employment.

Name Phone Number

FOR OFFICE USE ONLY

 Applicants Certification, Authorization and Agreement
Please read carefully before signing. If you have any questions regarding the application or the following statements,
please ask for assistance.

I certify that all information in this application and resume, if attached, are true and correct. I understand that any false
and/or misleading information contained in this application will result in my discharge if employed by You Got It
Staffing.
Background Investigation

I hereby release any law enforcement agencies, my former employer, their agents, any credit reporting agency, any
state or federal bureau, or any of the references shown from liability for any damage whatsoever in furnishing said
information. I understand that my background will be fully investigated and, if employed, false or misleading
statements on the application shall be grounds for dismissal.

Employee Agreement
By signing this form, I agree to call You Got It Staffing every week upon registering or completing an assignment. The
purpose of the phone call is to inform us of any changes in address or phone number change and also let us know that
you are available to work. If we do not hear from you, we will assume you have abandoned the work provided to you
from You Got It Staffing. I understand that when the assignment to which I have been sent, has been completed, that I
am required to report to You Got It Staffing, for reassignment. If I fail to report for a new assignment, I may be denied
unemployment benefits.

Drug Test Acknowledgement

I acknowledge and understand that if I receive work assignment from You Got It Staffing that I may be required to
submit a drug screen test for detection of illegal substances within my body. I further understand that I may be
working on an assignment for several days before the drug test can be administered

Terms of Employment
I understand that You Got It Staffing and its clients have agreed that You Got It Staffing will provide Worker’s
Compensation Insurance coverage for its employees. In the event of an injury in the workplace I will contact You Got
It Staffing @ 210-254-5291 within 24 hours of the accident and I agree that Worker’s Compensation is my sole source
of recovery from You Got It Staffing for any injuries I might sustain.

I acknowledge that should I be employed by You Got It Staffing I will be an at will employee. I can terminate my
employment with or without cause and with or without notice at any time and understand that You Got It Staffing has
the same rights. I also understand and agree that if I resign without providing one week notice or am terminated
for cause prior to completion of my assignment, my wage rate for all remaining unpaid hours worked will be
reduced and calculated and paid at the minimum wage rate.

Equal Opportunity Employer

You Got It Staffing does not discriminate on the basis of race, sex, color, religion, national origin, sexual orientation,
age, disability, veteran status, or any other factors made unlawful under applicable federal and state laws. All
personnel decisions are made without prejudice or discrimination, in accordance with the principles of equal
opportunity.

_____________________________________________ _______________________________
Signature of Applicant Date