PERSONAL INFORMATION
Incomplete information could disqualify you from further consideration. Please complete all fields.
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-first-name"
as=${html``}
/>
<${props.Flatpickr}
name="mf-date"
className="mf-input mf-date-input mf-left-parent "
placeholder="${ parent.decodeEntities(`Date`) } "
options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}}
value=${parent.getValue('mf-date')}
onInput=${parent.handleDateTime}
aria-invalid=${validation.errors['mf-date'] ? 'true' : 'false'}
ref=${el => props.DateWidget(
el,
'',
{"message":"This field is required.","required":true},
register,
parent
)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-date"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-text"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-email"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-telephone"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-telephone"
as=${html``}
/>
Are you eligible to work in the U.S?
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-d7c1378">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
Have you ever been terminated from employment or asked to resign by an employer?
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-e2b7247">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
If yes, please provide company names and details
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-textarea"
as=${html``}
/>
WORK AND SCHEDULE
Can you work any shift?
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-1f83086">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
If no, explain:
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-textarea"
as=${html``}
/>
Can you work overtime, including weekends?
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-b205639">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-b6bed0d">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
EMPLOYMENT DESIRED
<${props.Flatpickr}
name="mf-date"
className="mf-input mf-date-input mf-left-parent "
placeholder="${ parent.decodeEntities(`Date you can start`) } "
options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}}
value=${parent.getValue('mf-date')}
onInput=${parent.handleDateTime}
aria-invalid=${validation.errors['mf-date'] ? 'true' : 'false'}
ref=${el => props.DateWidget(
el,
'',
{"message":"This field is required.","required":true},
register,
parent
)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-date"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-number"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-text"
as=${html``}
/>
Are you currently employed?
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-4115e52">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
If so, may we inquire of your present employer?
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-textarea"
as=${html``}
/>
REFERRAL SOURCE
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-text"
as=${html``}
/>
Have you ever worked for this Company before?
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-cf28c08">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
Explain
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-textarea"
as=${html``}
/>
Do you know anyone who works for us?
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-fa11a43">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
If yes, who?
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-textarea"
as=${html``}
/>
PERSONAL INFORMATION
Include your last employment history, Incomplete information could disqualify you from further consideration.
<${props.Flatpickr}
name="mf-date"
className="mf-input mf-date-input mf-left-parent "
placeholder="${ parent.decodeEntities(`From`) } "
options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}}
value=${parent.getValue('mf-date')}
onInput=${parent.handleDateTime}
aria-invalid=${validation.errors['mf-date'] ? 'true' : 'false'}
ref=${el => props.DateWidget(
el,
'',
{"message":"This field is required.","required":true},
register,
parent
)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-date"
as=${html``}
/>
<${props.Flatpickr}
name="mf-date"
className="mf-input mf-date-input mf-left-parent "
placeholder="${ parent.decodeEntities(`To`) } "
options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}}
value=${parent.getValue('mf-date')}
onInput=${parent.handleDateTime}
aria-invalid=${validation.errors['mf-date'] ? 'true' : 'false'}
ref=${el => props.DateWidget(
el,
'',
{"message":"This field is required.","required":true},
register,
parent
)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-date"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-first-name"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-telephone"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-first-name"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-first-name"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-first-name"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-first-name"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-text"
as=${html``}
/>
Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-textarea"
as=${html``}
/>
EEOC Notice
Essential Staff, we are an equal opportunity employer. This Company does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
Please read carefully before signing
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation to hire me. If I am hired with Essential Staff, I understand that it is for “at-will” employment and consistent therewith either the Company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the Company has the authority to make any assurance to the contrary.
I attest with my signature below that I have given true and complete information on this application. No requested information has been concealed. I authorize Company or its agents/assigns to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
<${props.Flatpickr}
name="mf-date"
className="mf-input mf-date-input mf-left-parent "
placeholder="${ parent.decodeEntities(`Date`) } "
options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}}
value=${parent.getValue('mf-date')}
onInput=${parent.handleDateTime}
aria-invalid=${validation.errors['mf-date'] ? 'true' : 'false'}
ref=${el => props.DateWidget(
el,
'',
{"message":"This field is required.","required":true},
register,
parent
)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-date"
as=${html``}
/>
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-text"
as=${html``}
/>