Grand Island, Hastings, or Kearney  
 
  Please complete the following form, providing all the requested information.  
    Click here for any comments about our application.  
    General Information
Last Name
First Name
Middle Initial
   
Address
City
State
Zip
SSNumber
Telephone
2ndTelephone
2ndTeleDescription

 
EmailAddress
 
Position you are applying for:
 
     
     
     
     
     
     
     
     
     
     
     
    Previous Work History  
   

Employer Dates
Description Pay
Reason Address1
Phone1 Supervisor1
       
Employer Dates
Description Pay
Reason Address2
Phone2 Supervisor2
       
Employer Dates
Description Pay
Reason Address3
Phone3 Supervisor3
       
Employer Dates
Description Pay
Reason Address4
Phone4 Supervisor4
       
Employer Dates
Description Pay
Reason Address5
Phone5 Supervisor5
       
Employer Dates
Description Pay
Reason Address6
Phone6 Supervisor6

 
     
     
     
     
     
     
     
     
     
     
         
      Experience and Skills  
    Industrial  
   

ARC ASSEMBLY BLUEPRINT READ BOBCAT
BODY SHOP/PAINT BRAKEPRESS OPER CABLE INSTALL CARPENTER
CNC CONCRETE CONSTRUCTION CUSTODIAN
CUTTING TORCH DETASSELING DRILL PRESS DRIVER
ELECTRICAL ELECTRICAL PSOL ELECTRONICS EMT
FABRICATION FARM MACHINERY FARMER FEEDLOT/LIVESTK
FIBERGLASS FLOOR COVERING FOOD PROC MACH FOOD SERVICE
FORKLIFT FORKLIFT CERT. FORMS-CONCRETE GENERAL LABOR
GRINDER HEAT/VENT/AC HEAVY EQUIPMENT HOTEL CLEANING
INJECTION MOLD. INJECTION WELD. INSPECTION JACKHAMMER
LANDSCAPING LATHE LIVESTOCK MACHINE OP
MAINTENANCE MEAT CUTTER MEAT TRIMMER MECH/AIRCRAFT
MECHANIC MIG MOLD MAKER PACKING
PAINTER PALLET JACK PARTS PAY LOADER
PIPE FITTER PLUMBING POWDERCOAT PRESS & SHEAR
PRESS BOARD PRESS OPERATOR PRINTING PRESS PRODUCTION
PUNCH PRESS READ DIAGRAMS ROBOT ROLL FORMER
ROOFING SANDBLASTING SCRAPER SECURITY
SERVICE/GUARD SETUP SHEER SHEET METAL
SHEETMAKER SHIPPING CLERK SHIPPING/RECVNG SHORTORDER COOK
SIMENATICS STOCKING TIG TOOL MAKER
TRCKNG CL A CDL TRCKNG CL B CDL TRUCKER VENT WORK
WAREHOUSE WELDING

 
     
     
     
     
     
     
     
     
     
     
     
     
    Admin/Software  
   

ACCESS ACCT SOFTWARE ACCTS PAYABLE ACCTS RECV
ADOBE AS 400 AUTO CAD BAKERY
BANK RECON. BANQUET SERVER BARTENDER BILINGUAL
CALCULATOR CALYX CAREGIVER CASHIER
COLLECTIONS COMP TECH COMPUTER COOKING
COPIER CORRELL DRAW CREDIT CUSTOMER SERVIC
D BASE 3 DATA ENTRY DEMONSTRATOR DENTAL
DISHWASHER DISPATCHER EMT EXCEL
FAX MACHINE FOOD SERVICE FOOD SVC MGMT GENERAL LEDGER
GENERAL MANAGER GRAPHIC DESIGN HUMAN RESOURCES INTERPRETER
INVENTORY LEGAL LOTUS 123 MACINTOSH
MANAGEMENT MEDICAL NETWORKING NURSING
PAGE MAKER PARADOX PAYROLL PC TECH
PEACHTREE POSTAGE METER POWER POINT PROGRAMMING
PROOFREADING QUALITY ASSUR. QUATTRO PRO QUICK BOOKS
QUICK BOOKS PRO QUICKEN RECEPTIONIST RETAIL
SALES SALES MANAGER SECRETARY SUPERVISOR
SWITCHBOARD TAXES TELEMARKETING TELLER
TEN KEY TRANSCRIPTION TYPING WAIT STAFF
WARD LABS WINDOWS WINDOWS 2000 WINDOWS 98
WINDOWS VISTA WINDOWS XP WORD WORDPERFECT
WORKS

 
     
     
     
     
     
     
     
     
     
     
     
     
     
     
    Temp/Perm/Shift  
   
1ST SHIFT 2ND SHIFT 3RD SHIFT AFTERNOON
ANY SHIFT FRI,SAT,SUN FRI/SAT ONLY FULL TIME
M, W, F MORNING NO SAT NO SUN
NO WEEKENDS PART TIME PERM SAT SUN
SPOT JOBS SUMMER TEMP T, TH TEMP
TEMP-WEEKENDS
 
     
     
     
    Education  
   

AIR FORCE ARMY ASI ORIENTATION ASSOC DEGREE
BACHLORS DEGREE C.M.T LIC CCC CERT. NURSE AID
COLLEGE GRAD COSMETOLOGY LIC CURRENT STUDENT EMT LICENSING
GED HIGH SCHL GRAD JOB CORP LEPRINO ORIENT
MARINES MASTERS DEGREE NATIONAL GUARD NAVY
NO GED R.N. SOME COLLEGE

 
     
     
     
     
    How were you referred?  
   

REF-ARBOR REF-ASI EMP REF-BILLBORAD REF-EMPLOYER