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Tell Us About Your Self

Denotes a required field
Enter N/A if a question does not apply to you.
A valid email address is required for processing.

Last Name:
First Name:		MI
Home Phone:
Cell Phone:
Email address:
Address:
City:
State:
Zip:
Mailing Address:
City:
State:
Zip:

When are you available to start work?
What days and times would you be available to work? (Please indicate any hours available between 7:00 a.m. and 7:00 p.m.)
Days	Times
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Have you worked for us before? Yes No

If "Yes", under what name?

From To

Have you applied with the First Access Team, Inc. within the past 12 months?
Yes No

If "Yes", What date?

Do you have any friends or relatives working for us?
Yes No

If "Yes", Who?

Are you at least 18 years old? Yes No

If "No", state your age for child labor purposes:

How did you hear about us? :

Have you been convicted of a crime? Yes No
(A conviction will not necessarily disqualify you.)

If "Yes", please give details:

Have you ever been bonded? Yes No
Is there a reason why you could not be bonded? Yes No

If "Yes", Describe:

Do you have a legal right to work in the US? Yes No
If "Yes", can you provide documentation? Yes No

Indicate any foreign language(s) you:
Speak: Read: Write:

Fast Access Service is a Drug Free Workplace.
Pre-Employment drug testing is required for employment.

Have you taken any illegal drugs within the last 30 days?
Yes No

Tell Us About Your Education

High School:

City: State:

No. Years Completed Graduated? Yes No

Verification Phone

College:

City: State:

No. Years Completed Graduated? Yes No

Major

Verification Phone

Noteworthy Achievements and Recognition:

Training Programs Completed:

Professional Memberships and Certifications:

Tell us about your computer and PC experience:

Tell Us About Your Work Experience Please start with your Most Recent Position.
List All Employers over the past 5 years.

1. Employer

From To

Name Worked Under:

Job Title: Full-Time Part-Time

Starting Salary: Ending Salary:
Per: Year Hour

Reason for Leaving:

Supervisor's Name:

Supervisor's Position:

Phone

City: State:

Major Responsibilities and Accomplishments:

2. Employer

From To

Name Worked Under:

Job Title: Full-Time Part-Time

Starting Salary: Ending Salary:
Per: Year Hour

Reason for Leaving:

Supervisor's Name:

Supervisor's Position:

Phone

City: State:

Major Responsibilities and Accomplishments:

3. Employer

From To

Name Worked Under:

Job Title: Full-Time Part-Time

Starting Salary: Ending Salary:
Per: Year Hour

Reason for Leaving:

Supervisor's Name:

Supervisor's Position:

Phone

City: State:

Major Responsibilities and Accomplishments:

4. Employer

From To

Name Worked Under:

Job Title: Full-Time Part-Time

Starting Salary: Ending Salary:
Per: Year Hour

Reason for Leaving:

Supervisor's Name:

Supervisor's Position:

Phone

City: State:

Major Responsibilities and Accomplishments:

I certify the information above is complete and accurate to the best of my knowledge. I authorize the individuals, companies, and agencies concerned to provide FAST Inc and its agents with all the information necessary to verify the statements I have made in this application and I release them from any liability for so doing. I understand I must receive satisfactory references from previous employers before an offer of employment can be made. I understand that incomplete or unsigned applications will not be considered and that false, incomplete or misleading statements are grounds for my immediate discharge upon discovery. I understand that any offer of employment is contingent upon satisfactory pre-employment background investigation, passing a pre-employment Drug Screening Examination, proof of identification, and right to work documentation. I understand these policies cannot be changed except in writing.

I have read and understand the above declarations.
Yes

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