First Name  
Middle Name  
Last Name  
Street Address  
Phone #  
Cell #  
E-Mail Address  
Best Time To Contact  
Position Applying for or Desired  
Are you currently Employed?    Yes
May we contact your current Employer?    Yes
Are you legally allowed to work in this country?    Yes
Date Available  
What is your desired salary range?  
Are available to work   Full Time Part Time Temporary
Provide summary of Education
Provide Summary of work experience
List Licenses and Registrations
List skills
Personal references
Professional References

I certify that answers given herein are true, accurate, and complete.

I authorize all required investigation and verifications of information on this application as may be necessary in arriving at an employment decision.

In the event of employment, I understand that false or misleading information may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

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All rights reserved.

U.S. International Services, Ltd.
113 Kresson-Gibbsboro Road
Voorhees NJ 08043

Phone: (856) 346-0747
Fax: (856) 346-9529