Online Application 1 Personal Information2 Education3 Employment History4 Professional References Lead SourceOtherLead Source- SpecificEmployment ApplicationSecond ChoiceThird ChoiceTypeApplicantPosition Applying For:*Name* First Last Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Hours*Full TimePart TimeAvailable Start Date* Date Format: MM slash DD slash YYYY Expected Pay Rate*How did you hear about the position?*Select from options belowCurrent employeeFire-Dex websiteGovernment agencyHandshakeIndeedJob fairSchoolSocial MediaZipRecruiterOtherSelect referring social media:Select from options belowFacebookInstagramLinkedInPinterestTwitterOtherList the specific other source below:List referring employee's full name below:Are you legally authorized to work in the U.S.?*YesNoHave you ever been convicted of a criminal offense?*YesNoPlease list all charges and dates of convictions:*Have you ever worked for Fire-Dex?*YesNoWhat were the dates of your employment?*Have you completed the following level of education: High school or equivalent?*YesNoHow many years of sewing experience do you have?*Do you have the ability to travel?*YesNo EDUCATIONHighest Level of Education*Did not complete High SchoolHigh School Graduate or EquivalentSome College, No DegreeTrade/Technical/Vocational TrainingAssociate DegreeBachelor's DegreeMaster's DegreeHighest Grade CompletedName of High School*Higher EducationIf applicable, please provide the following information on any additional training, certificates, or degrees achieved. Name of SchoolDegree/CertificateArea of StudyYears Attended MOST RECENT EMPLOYERPrevious Employer's Name*Supervisor's Name*Previous Employer's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone*May we contact your employer?*YesNoStart Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY Job Title*Reason for Leaving/Wanting to Leave*Summary of Job Responsibilities*Starting Wage*Ending Wage*SECOND EMPLOYERPrevious Employer's Name (2)*Supervisor's Name*Previous Employer's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone*May we contact your employer?*YesNoStart Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY Job Title*Reason for Leaving*Summary of Job Responsibilities*Starting Wage*Ending Wage*THIRD EMPLOYERPrevious Employer's Name (3)*Supervisor's Name*Previous Employer's Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State PhoneMay we contact your employer?YesNoStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY Job TitleReason for Leaving*Summary of Job ResponsibilitiesStarting WageEnding Wage PROFESSIONAL REFERENCESPlease Note: Professional References cannot be relatives.1st ReferenceName*Phone*Company*Relationship*Address*2nd ReferenceName*Phone*Company*Relationship*Address*3rd ReferenceName*Phone*Company*Relationship*Address* DOCUMENT UPLOADDocument UploadIf you would like to upload your resume or other relevant documents, you can do so here.UntitledFirst ChoiceSecond ChoiceThird Choice
