Online Application Form

During your initial job search and eventual placement we will protect all of your personal and employment data.  Furthermore, beyond your assigned career advisor and those in our agency on a need-to-know basis, no person, recruiter, company, or business associate will have access to your information without your knowledge and approval.  We assure you that as an applicant of our agency there will be no fees and you will maintain full control of your career development. 

Please complete the following form with as much information as possible to help us assist you with securing your next job!

Thank you!


 General Information
Last Name
First Name
Middle Initial
   
Address
City
State
Zip
(Optional) SSNumber
Telephone
Other Phone
Other Phone Description

 

Email Address Please provide the name of who referred you to us, if applicable.
Approx Typing Speed (WPM) Word (Y or N)
Excel Data Entry Speed (KPH)
Word Perfect Desired Wage  (per hour)
Temp to Hire Would you consider a temporary assignment?  (Y or N)
Job Fair Referral Source Code (JSEC, BU, BCC)
 Other Applicant Information  

Current or Most Recent Employer
What type of business? What was your job title?
Reason for leaving?
Last hourly rate of pay?

 Please select software in which you are proficient. Select any that apply

ACCESS EXCEL MS OFFICE MS PROJECT
MS PUBLISHER OUTLOOK PEOPLESOFT POWER POINT
PUBLISHER QUICKBOOK SAP VISIO
WORD WORD PERFECT

Please select job titles you can perform. Select any that apply

ACCOUNTANT ACCTG MGR ACCTING CLERK ACCTS PAYABLE
ACCTS REC ADMIN. ASST. ADMINISTRATOR ADMISSIONS REP.
ADVERTISING BANK TELLER BENEFITS ADM BILLING CLERK
BOOKKEEPER CASHIER CLAIMS EXAMINER COLLECTIONS
COMP OPERATOR CONTROLLER CUSTOMER SERV DATA ENTRY
DISPATCHER DOC PREP EDITOR ENGINEERING SEC
EXECUTIVE SEC FILE CLERK GRAPHIC DESIGN HELP DESK
HUMAN RESOURCES ILLUSTRATOR INSIDE SALES LEGAL SECRETARY
LIBRARIAN LOAN OFFICER MAILROOM MARKETING
MEDIA MANAGER MEDICAL BILLING MEDICAL RECORDS MEDICAL SECY
MOA CLERICAL OFFICE MANAGER OUTSIDE SALES PARALEGAL
PAYROLL PHOTOGRAPHER PURCHASING RECEPTIONIST
RECRUITER RESEARCH ASST RETAIL MANAGER SCHOOL AIDE
SCHOOL CUSTOD SCHOOL MONITOR SECRETARY SOCIAL WORKER
STATISTICIAN SWITCHBOARD TEACHER TEACHER ASST.
TELEMARKETING TYPIST WEB DESIGN WRITER

 Please select your highest completed level of Education  

AAS DEGREE BA DEGREE BFA BS DEGREE
CERTIFICATE COLLEGE-CURREN GED HS GRAD
LAW DEGREE MA DEGREE MBA MFA
MPP MS MS EDUCATION MSW
PHD RN LICENSE SOME COLLEGE SOME HS
STUDENT TRADE SCHOOL

Please select your shift preference and desired work location below: Select any that apply

1ST SHIFT AUBURN AREA BINGHAMTON AREA ELMIRA AREA
2ND SHIFT ITHACA AREA OSWEGO AREA SYRACUSE AREA
  3RD SHIFT

 Resume Attach a resume in PDF/Word/Text Format

Please attach your resume