Lancaster Region Office
2201 Oregon Pike Lancaster, PA 17601-4205
phone 717-560-2111 fax 717-560-2314
Harrisburg Application
Please complete the following form, providing all the requested information.
Your form WILL NOT be submitted if you have not completed all required (*) fields - including your Social Security Number.
Thank you!
|
| Email Address |
Please DO NOT enter any data in the following four boxes.
| Sex |
| Gender |
| Race |
| Ethnicity |
In order to best serve you please tell us your current salary requirements:
| What hourly wage would you require for Temporary Assignments? |
| What hourly wage would you require for Permanent Positions? |
Employment History
Please provide the following information for your previous four employers (if applicable). Please note that if you choose "Still Employed" for your first employer we will not contact them for a reference unless you have granted permission.
| Company | Start Date | ||
| City | End Date | ||
| State | Hourly Pay Rate | ||
| Supervisor | Phone |
|
Duties: |
Choose 1 of the following: Clerical, Administrative, Customer Service, Accounting, Human Resources, Retail, Medical Claims, Legal, Sales, Other. | |
| Reason for Leaving | Choose 1 of the following: Still Employed, Terminated, Laid-Off, Better Opportunity, Re-located, Other. | |
| Company | Start Date | ||
| City | End Date | ||
| State | Hourly Pay Rate | ||
| Supervisor | Phone | ||
|
Duties: |
Choose 1 of the following: Clerical, Administrative, Customer Service, Accounting, Human Resources, Retail, Medical Claims, Legal, Sales, Other. | ||
| Reason for Leaving | Choose 1 of the following: Still Employed, Terminated, Laid-Off, Better Opportunity, Re-located, Other. | ||
| Company | Start Date | ||
| City | End Date | ||
| State | Hourly Pay Rate | ||
| Supervisor | Phone | ||
|
Duties: |
Choose 1 of the following: Clerical, Administrative, Customer Service, Accounting, Human Resources, Retail, Medical Claims, Legal, Sales, Other. | ||
| Reason for Leaving | Choose 1 of the following: Still Employed, Terminated, Laid-Off, Better Opportunity, Re-located, Other. | ||
| Company | Start Date | ||
| City | End Date | ||
| State | Hourly Pay Rate | ||
| Supervisor | Phone | ||
| Duties | Choose 1 of the following: Clerical, Administrative, Customer Service, Accounting, Human Resources, Retail, Medical Claims, Legal, Sales, Other. | ||
| Reason for Leaving | Choose 1 of the following: Still Employed, Terminated, Laid-Off, Better Opportunity, Re-located, Other. | ||
Other Reference Information:
Below please provide any additional references (personal, or Professional) that you think would be helpful to us:
| Name | Title | ||
| Phone | |||
| Name | Title | ||
| Phone | |||
| Name | Title | ||
| Phone | |||
Education
| High School Name | High School Graduate | ||
| City, State | |||
| College Name | Did you graduate? | ||
| College Major | Years Completed | ||
| Trade / Business School | Did you graduate? | ||
Other Information
| Municipality | Please enter the name of the township, or borough in which you currently reside. | ||
| School District: | Please enter the name of the school district in which you currently reside. | ||
| Emergency Contact Name | Please enter the name of the person we should contact in the event of an emergency should you be employed by Tri-Starr. | ||
| Emergency Contact Phone # | Please enter a daytime phone number for this emergency contact. | ||
|
Have you ever been convicted of a felony and/or misdemeanor. A
conviction record will not necessarily disqualify you from the job for
which you have applied. Factors such as the number, nature and
recentness of the crime(s) and ehabilitation will be taken into account. Enter Y (yes) N (no) |
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| How did you hear about TriStarr Staffing? | |||
| Have you ever worked for another Staffing Service? | |||
| If yes - what Temporary Service(s)? | |||
| If yes - where were you assigned? | |||
| Have you ever applied, or worked for TriStarr Staffing in the past? | |||
Experience
Please check the boxes where you have skills, experience, or training.
PLEASE NOTE - If you select a Skillcode that is marked with (TT) we will ask that you complete a skill assessment to demonstrate your level of skill.
| Administrative Asst. (TT) | Banking | Bookkeeper (TT) | Call Center (TT) | |
| Claims Processing (TT) | CPT Coding (TT) | ICD-9 Coding (TT) | File Clerk | |
| Executive Secretary | Insurance | Human Resources (TT) | Instructor | |
| Customer Service (TT) | Inventory | Inventory Control | Legal Secretary | |
| Mail Room | Recruiting | Retail | Sales | |
| Telemarketing | Real Estate | Light Industrial | Mortgage | |
| Medical / Healthcare Experience | ||||
| Medical Terminology (TT) | Medical Billing (TT) | Medical Receptionist (TT) | Medical Office (TT) | |
| Advertising / Marketing Experience | ||||
| Advertising / Public Relations | Advertising / Creative | |||
| Marketing / Ad Agency Exp. | Advertising Cust. Svc. | |||
| Marketing | ||||
| Information Technology Experience | ||||
| IT Management | IT Sales | Information Technology | Help Desk (TT) | |
| Engineering / Construction Experience | ||||
| Engineering - Technology | Engineering | Construction | ||
| Engineering - Supervisor | Estimator | Foreman | ||
| Skilled Craftsperson | Project Manager | |||
| Legal Experience | ||||
| Paralegal (TT) | Environmental | Employment | Litigation | |
| Family | Estates | Tax | Real Estate | |
| Management Experience | ||||
| Office Manager | Management / Supervision | |||
| Executive / Senior Management | ||||
| Accountant | Finance | CEO | COO | |
| Purchasing | ||||
| Printing Industry Experience | ||||
| Customer Service | Sales | PRTELECPRE | Pre-Press | |
| Press | Supervision | PRTTECH | Docutech | |
| Printing Industry Experience | ||||
Software Skills
Please check the boxes where you have software skills, experience or training.
PLEASE NOTE - If you select a Skillcode that is marked with (TT) we may ask that you complete a skill assessment to demonstrate your level of skill.
| MS Access (TT) | ACT! (TT) | Adobe (TT) | ADP (Payroll) (TT) | |
| AS400 (TT) | CYMA | Database | Dreamweaver | |
| E-mail (TT) | MS Excel (TT) | Freelance (TT) | Great Plains | |
| Harvard Graphics | HRIS - ABRA | HTML (TT) | Lotus Notes (TT) | |
| Lotus (TT) | Macintosh (TT) | MAS 90 | Novell (TT) | |
| One Write | PageMaker (TT) | Peachtree | PeopleSoft (TT) | |
| MS PowerPoint (TT) | MS Publisher (TT) | Quark | Quick Books PRO | |
| Quicken | SAP* | Timberline | Windows NT* | |
| Windows (TT) | MS Word (TT) | Word Perfect (TT) | ||
Office Skills
Please check the boxes where you have demonstrated verifiable office skills.
PLEASE NOTE - If you select a
Skillcode that is marked with (TT) we will ask that you complete a skill assessment to demonstrate your level of
skill.
| Accounting | Payroll (TT) | Accounts Payable (TT) | Accounts Receivable (TT) | |
| Banking (TT) | Bookkeepping (TT) | CAD | Collections (TT)* | |
| CONSULTING | Cust. Service (TT) | Data Entry (TT) | Data Processing | |
| Dictaphone | General Ledger (TT) | General Office (TT) | Hospitality | |
| Human Resources | Insurance | Inventory | ISO 9000 | |
| IT | Maili Merge (TT) | Manufacturing | MIS | |
| Mortgage | Office Manager | Sales | Printing | |
| Proofreading (TT) | Purchasing | Real Estate | Receptionist (TT) | |
| Recruiting | Retail | Short Hand | Switchboard | |
| Telemarketing | Ten Key Data Entry (TT) | Trainer | Transcription | |
| Keyboarding (TT) | ||||
| Are you fluent in any languages other than English? | ||||
| Chinese | French | German | Japanese | |
| Spanish | Other | |||
Education
| High School Graduate | GED | Business School Graduate | ||
| Trade School Graduate | ||||
| 1-2 Years College | Associates Degree | |||
| 3-4 YRS COLLEGE | Bachelors Degree | Masters Degree | PHD | |
| Law School | JD | Paralegal | ||
| CPA | ||||
| Information Technology Certifications | ||||
| MCDBA | MSCD | MCSE | PMI | |
How did you hear about TriStarr Staffing?
| TriStarr Temporary Employee | Friend | Family Member | ||
| TriStarr Client | TriStarr Staff | Speaker | ||
| Are you a previous TriStarr employee wishing to reactivate your status | ||||
| TriStarr Web Site | Other Recruiting / Employment Web Site | |||
| Newspaper Classifieds | Merchandiser | Pennysaver | Poster | |
| Trade Fair | Radio Ad | Yellow Pages | Direct Mail | |
| Job / Career Fair | Business School | Vo-Tech School | College | |
| Career Link | Other | |||
Attach your resume below (Please send in MS Word format ONLY)
This application will be given every consideration, but it's receipt does not imply that the applicant will be employed. By clicking the "Submit" button below you certify that all statements by you on this application are true and complete to the best of your knowledge, and that you have withheld nothing that would, if disclosed, effect this application unfavorably.
Please click the 'Submit' button once. If you do not receive a confirmation screen that states that your application has been successfully transmitted you may have omitted a required field. Please fill out the application again making sure to complete ALL required (*) fields. If you still encounter errors in the application process please contact our office at (717) 560-2111.
Please click the 'Submit' button once.