General application for All Positions

JOB APPLICATION

Muscogee Staffing Solution

1018 S Wood Dr, Okmulgee, Oklahoma

Muscogee Staffing Solution is an equal opportunity employer. This application will not be used for 

limiting or excluding any applicant from consideration for employment on a basis prohibited by 

local, state, or federal law. Should an applicant need reasonable accommodation in the application 

process, he or she should contact a company representative.

Please fill out all of the sections below:

Applicant Information

Applicant   Name: ___________________________________

Address: __________________________________________       

City, State and Zip___________________________________

Area Code:________   Telephone Number:______________   Email Address:______________________      

Date of  Application:  _________________________

Employment Position

Position(s) applying for: (full time)_________________________________

How did you hear about this position?_____________________________

What days are you available for work?_____________________________

What hours or shift are you available for work?  ______________________

If  needed,  are  you  available  to  work  overtime? ___________________

On what date can you start working if you are hired?__________________

Do you have reliable transportation to and from work?_________________

Salary desired: _____________________

Personal Information

Have you ever applied to or worked for Muscogee Staffing Solution

before?     Yes   No

If yes, when?______________________

Are you 18 years of age or older?       Yes   No

Are you a U.S. citizen or approved to work in the United States?     Yes   No

What document can you provide as proof of citizenship or legal status?______________________________

Will you consent to a mandatory controlled substance test?   Yes   No

Do you have any condition which would require job accommodations?    Yes   No

If yes, please describe accommodations required below.

_________________________________________________

Have you ever been convicted of a criminal offense (felony or

misdemeanor)?     Yes   No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the 

case:______________________________________________________________________

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are 

applying:__________________________________________________________________

_________________________________________________________________________

(Note: Muscogee Staffing Solution complies with the ADA and considers reasonable accommodation 

measures that may be necessary for eligible applicants/employees to perform essential functions. )

Education and Training

High School

Name __________________________

Location (City, State)___________________

Year Graduated __________________

Degree Earned___________________

College/University_________________

Name _________________

Location (City, State)________________

Year Graduated_______________

Degree Earned_______________

Vocational School/Specialized Training

Name  _________________

 Location (City, State)_______________

Year Graduated___________________

Degree Earned___________________

Military:

Are you a member of the Armed Services?_________________

What branch of the military did you enlist?_________________

What was your military rank when discharged?_____________

How many years did you serve in the military?______________

What military skills do you possess that would be an asset for this position?____________________________

Previous Employment

Employer  Name: _______________________       

Job Title_______________

Supervisor Name:_______________

Employer Address____________________:   City, State and Zip Code:_____________________   Employer Telephone:_______________ 

Dates Employed:____________________

Reason for leaving: __________________

Employer  Name: ________________________       

Job Title:_______________

Supervisor Name:_________________

Employer Address: _______________ 

City, State and Zip Code:____________________   

Employer Telephone: _______________________

Dates Employed: _________________

Reason for leaving:_______________________

Employer  Name:  ________________________      

Job Title:________________________________

Supervisor  Name:________________________       

Employer Address:________________________

City, State and Zip Code:___________________

Employer Telephone:______________________

Dates Employed:_________________________

Reason for leaving:_______________________

AT-WILL EMPLOYMENT

The relationship between you and the Muscogee Staffing Solution is referred to as "employment at 

will." This means that your employment can be terminated at any time for any reason, with or 

without cause, with or without notice, by you or the Muscogee Staffing Solution. No representative 

of Muscogee Staffing Solution has authority to enter into any agreement contrary to the foregoing 

"employment at will" relationship. You understand that your employment is "at will," and that you 

acknowledge that no oral or written statements or representations regarding your employment can 

alter your at-will employment status, except for a written statement signed by you and either our 

Executive Vice-President/Chief Operations Officer or the Company's President.

Applicant _____________________ Dated:____________________

Signature:  _________________________