Employee Portal Information Employment Application Step 1 of 12 - Candidate Information 0% PERRY RESOURCES525 Route 73 South, Suite 201, Marlton, New Jersey 08053 - (856) 596-9400EMPLOYMENT APPLICATIONPersonal InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Maiden Name/Other NameAddress* 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 Primary Phone*Type of PhoneHome PhoneCell PhoneOther PhoneSecondary Phone NumberType of PhoneHome PhoneCell PhoneOther PhoneEmail Address* Enter Email Confirm Email Are you a United States citizen or have the legal right to work in the US?*YesNoLegal Right to Work in USUnited States Military Service*YesNoWhat is your mode of transportation to work?* Car/Licensed Driver Bus/Public Transportation Carpool/Another Driver Other Emergency Contact Person-NameRelationship of Emergency Contact (Spouse, Partner, Relative, Friend, etc.)Phone Number of Emergency ContactHow did you hear about us? Please be as specific as possible (Facebook, LinkedIn, Twitter, Craigslist, Indeed, Referred by a Friend, Job Fair, etc.).*Desired Salary (Format: $15.00/hour or $30,000/year) Education (Highest Level)If you do not have additional education, click NEXT at the bottom of the page.Name of SchoolLocation (City, State)Years Attended Degree, Field of Study or CourseworkGraduated or CertificationYesNoCoursework OnlyCertificationEquivalent Current/Most Recent EmployerCompany Name*Location (City, State)*Title/Position*Employment Dates (to/from)*Employment Type*Full-Time Permanent EmployerPart-Time Permanent EmployerFull-Time Temporary EmployerPart-Time Temporary EmployerContract or Consulting Role Current/Most Recent Employer-If placed by a Staffing Firm into this role, please note the name of the agency below.Reason For Leaving (If Applicable)May we contact your Current/Most Recent Employer for a reference?*YesNoSupervisor Name*Supervisor Phone NumberSupervisor Email Address Enter Email Confirm Email Employment History-Previous EmployerIf you do not have another previous employer, click NEXT at the bottom of the page.Company NameLocation (City, State)Title/PositionEmployment Dates (to/from)Employment TypeFull-Time Permanent EmployerPart-Time Permanent EmployerFull-Time Temporary EmployerPart-Time Temporary EmployerContract or Consulting Role If placed by a Staffing Firm into this role, please note the name of the agency below.Reason For LeavingMay we contact your previous employer for a reference?YesNoSupervisor NameSupervisor Phone NumberSupervisor Email Address Enter Email Confirm Email Experience-Professional SkillsPlease indicate all skills and business areas in which you have experience or training.Administrative Administrative Assistant Clerk Data Entry-Alpha Data Entry-Numeric Executive Assistant Executive Assistant (C-Level) Filing Mailroom Office Manager Purchasing Receptionist Scanning Switchboard Computer/Office Automation Apple/Mac Operating Systems Adobe Adobe Illustrator AS400 AutoCAD Linux/Unix/Other Operating Systems MAS90 Microsoft/Windows Operating Systems Microsoft Access Microsoft Excel Microsoft PowerPoint Microsoft Outlook Microsoft Word MCSE Oracle PageMaker Peachtree Peoplesoft Photoshop Pivot Tables Quark Quickbooks Quicken Sage SAP Sarbanes Oxley Visio VLookup Customer Service Call Center Call Center-Inbound Calls Call Center-Outbound Calls Call Center Manager Credit Collections Collections-3rd Party Collections-B2B Collections-Commercial Collections-Consumer Customer Service Customer Service Manager Dispatch Telemarketing Finance/Accounting Accountant Accounting Clerk Accounts Payable Accounts Receivable Audit Banking Bookkeeper Cost Accountant CPA Financial Analyst Full Charge Bookkeeper GAAP General Ledger Mortgage Payroll Tax Accounting Human Resources Human Resources Professional Benefits HR Assistant HR Generalist HRIS Recruiting Training Union Information Technology .NET ASP.net C# Cold Fusion Database ERT Help Desk HTML Java Jquerry Network Engineer Networking Programmer Prolog SEO Software Tech SQL T-SQL SSL System Analyst Visual Basic Web Developer Web Design XML Legal Attorney Legal Professional Legal Assistant Legal Receptionist Paralegal Light Industrial Assembly Collating FedEx/UPS Fiber Optics Forklift HandTruck Heavy Lifting Inventory Labor Light Lifting Machine Operator Operations Packing Picking Printing Procurement/Buyer Quality Assurance Quality Control Receiving Shipping Supervisor Warehouse Marketing Marketing Professional Copywriter Marketing Support Marketing Communications Marketing-Creative Social Media Medical Dental Office Medical Office Medical Office Management Medical Assistant Medical Receptionist Medical Billing Medical Coding Medical Collection Sales Sales Professional Inside Sales Insurance Sales Outside Sales Property Management Real Estate Retail Sales Sales Support Please List Any Additional/Specialized Skills, Abilities or Talents HereLanguages (Bilingual, Read, Write, Speak, etc.) Your Interests and Personal StyleWhat type of employment are you seeking?*Temporary PlacementContract-to-Hire PlacementDirect-Hire/Permanent PlacementOpen to All OptionsTell Us More About Yourself-Specific Interests/Strengths and Your Personal Style (Optional) Your References (3 Requested/ At Least 1 Supervisor)List of References (Supervisor)*NameTitleCompanyAddressPhone List of ReferencesNameTitleCompanyAddressPhone List of ReferencesNameTitleCompanyAddressPhone Your Resume-Upload Your Resume (Microsoft Word Document)Microsoft Word format is preferred because it is the most compatible with our applicant tracking system.Upload Resume Drop files here or Policies and Procedures-Unemployment Eligibility (Enter Initials Below)You will be required to initial below to acknowledge your compliance with our policies and procedures.Unemployment Eligibility: As your employer, it is our responsibility to inform you of legal regulations and our policies regarding unemployment. Perry Resources has amended its policy to comply with regulations passed on February 20, 1996 by the Administrative Law Office of the New Jersey Department of Labor. Our Policy States: You, the temporary employee, are required to notify your employer, Perry Resources, upon completion of your assignment. If you fail to call within two (2) working days after completion of your assignment, your eligibility of unemployment benefits may be denied. Please address Perry Resources with any questions regarding this or any other policy. By typing your initials below, you acknowledge that you have read, understand, and will comply with Perry Resources Unemployment Eligibility Policy.* Policies and Procedures-Substance Abuse Policy (Enter Initials Below)You will be required to initial below to acknowledge your compliance with our policies and procedures.Substance Abuse Policy: Perry Resources prides itself in providing our client companies with candidates who avoid substance abuse. You are required to arrive at work alcohol-free and drug-free and remain so for the rest of the working period. If alcohol or drug usage is suspected, you may be asked to submit to drug and/or alcohol testing. If alcohol and/or drug usage at the workplace is confirmed, your employment with Perry Resources may be immediately terminated. If you accept an assignment in which alcohol/drug testing may be required by the client company, you may be subject to discharge if you do not cooperate with said testing. If testing results show that you have used or are under the influence of alcohol and/or drugs, you may be subject to discharge. By typing your initials below, you acknowledge that you have read, understand, and will comply with Perry Resources Substance Abuse Policy.* Policies and Procedures-Social Networking (Enter Initials Below)You will be required to initial below to acknowledge your compliance with our policies and procedures.Social Networking Policy: Employees are prohibited from using the company internet for social networking or similar media including but not limited to, blogs (hereinafter referred to as "personal websites") during work hours. Exceptions may be made for business reasons and/or legitimate business use. When these exceptions are made, employees are expected to show a duty of loyalty to the company and use good judgement and discretion when using personal websites. Employees are reminded that the public, other members of the company, customers and competition of the company can view personal websites and any information posted. Employees are expected to respect the privacy of fellow employees, the company, and other business relationships by refraining from posting information, opinions, or photos that may portray them in a negative manner and publicizing confidential information. Employees are expected to avoid plagiarism and follow copyright laws on personal websites as well as other websites. By typing your initials below, you acknowledge that you have read, understand, and will comply with Perry Resources Social Networking Policy.* Policies and Procedures-Statement of Confidentiality (Enter Initials Below)You will be required to initial below to acknowledge your compliance with our policies and procedures.Statement of Confidentiality: I will not reveal any computer access orders or passwords assigned to or selected by me for use in my work for any client of Perry Resources. I understand that I shall use my code(s) only to the extent needed to perform the duties for my job, and that it is my responsibility to log off all systems that I have accessed before leaving any terminal that I am assigned to use. I understand that payroll, financial, and employee personnel information of a client of Perry Resources, whether stored on paper, computer disk, or any other media is considered confidential and that reading, discussing, or otherwise utilizing the information for other than legitimate purposes within the performance of my job may be grounds for immediate dismissal. As an employee of Perry Resources, I am forbidden from making recordings of conversations held at the company. Taking pictures and/or videos of the company offices, documents, or any other materials is also forbidden. If I have knowledge of any unauthorized access of information, I will immediately notify Perry Resources, who in turn, will notify the person's supervisor or Human Resources Director. By typing your initials below, you acknowledge that you have read, understand, and will comply with Perry Resources Confidentiality Policy.* FINAL STEP, Electronic Application Authorization (Enter Last 4 Digits of Your Social Security Number Below)You will be required to type in the last 4 digits of your social security number below to acknowledge your compliance with our policies and procedures. You will be required to sign this printed application when you come to our office to complete the registration process.Final Step, Electronic Application Authorization: Any falsification of the information on this application is cause for immediate dismissal. If hired, it is understood that I must contact our office on the last day of an assignment and once a week thereafter in order to be scheduled for a new assignment. Failure to do so will be considered voluntary termination of my employment. I understand that I will be contacted for various assignments for which this company feels I am qualified to perform. I hereby authorize this company to perform a background check on me. I further authorize any Federal, State, or Local Governmental Agency to release to Perry Resources any criminal convictions or related background information pertaining to me. I understand that any negative information about me which is received by Perry resources may result in my not being employed by Perry Resources. I have been informed that in connection with this background check I may be asked to be fingerprinted. I understand that if I refuse to be fingerprinted, such refusal could result in my not being employed by Perry Resources. Furthermore, I have been informed of and understand all of Perry Resources Policies and Procedures.*Electronic Application Authorization Date (mm/dd/yyyy)*