Mastin's Incorporated

Name *

First

Last

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Today's date *

Email *

Cell or Best Phone Number *

Where do you live? *

Own Home Rent Home Live with parents

Are you? *

Single Married Divorced Engaged

Education, list name and location of school, number of years attended and did you graduate? Mark if High School, College or Trade School. *

Choose one *

I am looking for full time work I am looking for part time work

Employment job desired *

Salary Desired *

Date you can start *

Position requested *

Are you currently receiving or have you in the past twelve months received unemployment compensation. Say Yes or No, IF YES, EXPLAIN *

General specific skills: Any physical handicaps? If yes, explain. *

If needed for work, do you have? *

Tools Automobile A drivers licence

MILITARY SERVICE: Please state DATE ENTERED, DATE RELEASED, BRANCH, if none write none. *

Name of friends or relatives employed by Mastin's Inc. *

Former Employees: List below last four employers, starting with last one first. Include date Name and address of employer, Payrate, Duties and reason for leaving. *

References: Please list below the name of three persons not related to you, whom you have known for at least one year. Include their name, address, business or relationship and phone number *

Employers receive tax credits for hiring certain applicants under the Work Opportunity Tax Credit, or WOTC, a program created by the U.S. Department of Labor. The WOTC encourages the hiring of veterans; recipients of public assistance or food stamps; residents of empowerment, low-income zones; vocational rehab participants; released convicted felons; and people who receive Supplemental Security Income payments. Although you are NOT required to provide this information, it's simply a way for the employer to fulfill its obligation under the rules for federal contractors or for it to gain a tax credit for hiring you if you belong to one of the targeted groups of the Work Opportunity Tax Credit. IF YOU BELIEVE YOU MAY FALL INTO ONE OF THE GROUPS LISTED ABOVE, PLEASE ASK FOR A WOTC FORM. SIGNATURE *

I would need the form I would not need the form

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