Manpower Employment Application

Apply Now by Completing This Digital Application

Personal Information

Name *

First

Middle

Last

Mobile Phone Number

Other Phone Number

Physical Address *

Address Line 1

City

State

Zip Code

Is your mailing address the same as your physical address?

Email *

Are you 18 years of age or older? *

Do you have the legal right to work in the United States? *

Have you ever worked for this office or another Manpower office? *

Personal Permissions

If permitted by applicable law, would you be willing to take a drug test? *

Emergency contact name (first & last) *

Emergency Contact's Phone Number *

Work History (list current or most recent first)

We have provided space for you to list your 3 most recent employers. If you were on assignment through another staffing agency, please be sure to put the agency's name down as the employer.

Employer 1

Employer Company Name *

When did you start at this employer? *

When did your job end? *

Employer Address *

Address Line 1

City

State

Employer phone number *

May we contact this employer? *

Supervisor's Name? *

What was your job title? *

What were your job duties? *

Reason for leaving? *

Do you have a 2nd job to add?

Employer 2

This section will populate if you indicate you have another job to list.

Employer 3

This section will populate if you indicate you have another job to list.

Education

High School Name *

City, State *

Degree(s) *

Course of Study *

Did you attend any other formal schooling?

Other Formal Education

This section will populate if you answered yes above.

Disclaimers

I hereby certify that the information provided in the application is true and correct. I understand that my employment may be terminated immediately upon discovery that any information is false *

By typing my name below, I understand that will be considered a digital signature, and that I may be contacted by Manpower to collect a physical signature. *

I authorize Manpower Maine to contact me regarding employment opportunities. I understand I can opt out from futher communication at any time by notifying Manpower Maine. *

Type Your First & Last Name to Sign *

Today's Date *