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Employment History

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Invitation to Self-Identify

An equitable, inclusive, and diverse work environment are critical to the mission, vision and values of Staffmark Group, LLC. We strive to foster authentic belonging for all the lives we touch. We are committed to supporting the diversity of each of our employees, and celebrating the inclusion of all types of thought, differences, and voices. To ensure we are complying with federal reporting requirements and to support our commitment to diversity hiring, we invite you to voluntarily provide your demographic information. Your participation is optional. Thank you!

For Federal Self-Identification requirements, please select one:

I identify my gender as:

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Voluntary Self-Identification of Disability

Form CC-305 - OMB Control Number 1250-0005

Expires 05/31/2023

Why are you being asked to complete this form?

We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

Autism
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Intellectual disability
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Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)
Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

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Statement of Agreement

I understand and certify that all the information supplied in the application for employment, and any attached resume, is complete and correct.
Any false, misleading, or incomplete information furnished by me regarding this application (including attached resume) may result in the rejection of this application, or, if employed at the time of discovery, the termination of my employment. I also understand that in consideration of my employment, I agree to comply with, follow, and conform to all workplace and employment rules and regulations.
I understand that Staffmark Group, LLC and all its related entities: Staffmark Investment LLC DBA “Pro Staff”, Digital People”, “Hunter Hamilton”, “Advantage Resourcing”, “Columbia Healthcare Services” and “Staffmark”; Employee Management Services III, Inc. DBA “EMS”; Hire Thinking Inc. DBA Advantage xPO; Technical Aid Corporation; Advantage Technical Resourcing Inc; Advantage Technical Services, Inc; and Advantage Resourcing International, Inc. DBA “Advantage Technical” (all collectively, the “Company”) will not use any information gathered on this Application for Employment to discriminate in any way with respect to race, color, religion (including religious dress and grooming practices), sex, sexual orientation, gender, gender identity, gender expression, age, marital status, national origin, ancestry, citizenship status, pregnancy, medical condition, genetic information, mental and physical disability, political affiliation, union membership, status as a parent, military or veteran status or other non-merit based factors. We will provide reasonable accommodations throughout the application, interviewing and employment process. This is applicable to all phases of the employment relationship, including hiring, transfers, promotions, training, terminations, working conditions, compensation, benefits, and other terms and conditions of employment.
I authorize the Company to verify my previous work experience if applicable.
By opting-in I authorize the Company to collect, use, store, and destroy the personal information that I have provided for the purposes of employment with the Company, and/or recruitment for and submission to job positions directly with a third party client of the Company, as subject to the terms and conditions of the Company's Privacy Policy listed on its website https://www.staffmarkgroup.com/privacy and all limitations and allowances of applicable law.
I want to be considered for future opportunities that match my skills, experience, and/or preferences. By checking the box below and submitting my application, I consent to receive, and hereby authorize the Company, and third-parties acting on its behalf, to send me communications, which may include automated, prerecorded and/or artificial voice telephone calls, text messages, and emails regarding any matters related to my application and, if hired, subsequent employment, including, but not limited to, communications regarding my application and/or employment status, availability and offers of work, job-related information and updates, check-ins, and payroll notifications, at all telephone number(s) and/or email address(es) listed on this application. Message and data rates may apply.

I have read and understand the above Statement of Agreement

Please Provide your Resume
Applicable resume file formats are .doc, .docx, .pdf, .rtf, & .txt

Employment History

Education History

Invitation to Self-Identify

Voluntary Self-Identification of Disability

Form CC-305 - OMB Control Number 1250-0005

Expires 05/31/2023

Why are you being asked to complete this form?

How do you know if you have a disability?

Statement of Agreement

Unfortunately, your responses indicate that you do not meet the basic qualifications for this position

Our records show that you have already applied for this position

Please Provide your ResumeApplicable resume file formats are .doc, .docx, .pdf, .rtf, & .txt

Employment History

Education History

Invitation to Self-Identify

Voluntary Self-Identification of Disability

Form CC-305 - OMB Control Number 1250-0005

Expires 05/31/2023

Why are you being asked to complete this form?

How do you know if you have a disability?

Statement of Agreement

Unfortunately, your responses indicate that you do not meet the basic qualifications for this position

Our records show that you have already applied for this position

Please Provide your Resume
Applicable resume file formats are .doc, .docx, .pdf, .rtf, & .txt