SEEKING EMPLOYMENT WITH PBP?

Which position is of interest? Select one...NO CURRENT OPENNINGS

Address

City

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Zip Code

What position is of interest to you?

Are you currently employed?YesNo

Is relocation required?YesNo

Have you filed an application with us before?YesNo

Have you been employed by PBP before?YesNo

Do you have relatives currently working for PBP?YesNo

Please list the relative's name, your relationship to this individual and position

Most Recent Employer | Address

City

State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Direct Supervisor Full Name

Most Recent Employer | Company Phone

Ending Salary ($)

Have you ever been "laid off" by an employer?YesNo

How many years of direct experience do you possess?LESS THAN A YEARLESS THAN THREE YEARS3 - 5 YEARS EXPERIENCE5+ YEARS EXPERIENCE

What is your unique value proposition?

Reference #1

Phone

Reference #2

Phone

Reference #3

Phone

PROFESSIONAL LICENSE/CERTIFICATION

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I-9 FORM

W-4

LAWFUL PRESENCE VERIFICATION

OTHER REQUIRED DOCUMENTS

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I authorize you to communicate with persons listed as references, former employers, and any others whom you desire to check. I agree to hold such persons harmless with respect to any information they may give concerning me. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Premier Business Partners, LLC maintains a drug free workplace policy, and as such requires a successful completion of a drug test as a condition of employment. In addition to meeting other requirements as determined by the job requirements, I hereby give my consent to those test(s).