Let's Work USA Form

General Application

Please select which position your are interested in:

		= Required Field
Are you at least 18 years of age and do you have the legal right to work in the United States?		Yes No
First Name
Last Name
Phone		Example: (000) 000-0000
Email Address
Resume:		If you have a plain-text resume, paste it into the box below OR upload your .doc, .docx or .rtf file.

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Availability

Are you willing to work temporary assignments?		Yes No
Are you looking for a full-time career position?		Yes No
Are you looking for contract positions?		Yes No
When are you available to start?
What weekday hours are you available?
What weekend hours are you available?
How many hours are you willing to work in a week?
Are you willing to work overtime?		Yes No
What is your desired hourly wage?
What is your minimum hourly wage requirement?
How much notice will you need if a position is offered to you?
Do you have reliable transportation?		Yes No
How many miles are you willing to travel to a position?
If permitted by law, would you be willing to take a drug test?		Yes No
How did you hear about Let's Work USA
If referred, please provide us with the person's name that referred you.
Have you worked for Let's Work USA previously? Yes/No If so, when & what city?
Select the Let's Work USA office closest to you
What areas can you work?		Boynton Beach, FL Okeechobee, Fl Naples, FL Punta Gorda, FL Venice, FL Bradenton, FL Medley, FL Clearwater, FL Davie, FL Fort Pierce, FL Hobe Sound, FL Key West, FL Lantana, FL Pasco, FL Pembroke Pines, FL Placida, FL Punta Gorda (City of), FL Tampa, FL West Palm Beach, FL Pompano Beach, FL Melbourne, FL Cocoa Beach, FL Vero Beach, FL Palm City, FL Bulk, FL Coastal, FL Coastal Palm City, FL Haileah, FL Isabelle, FL

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Education

Highest Level of Education Completed - For High School, please do not indicate a start/end date
Name of School
Type of School
Street Address
City
Start Date (Year)
End Date (Year)
Degree
Course of Study
Other Studies
List any other Education - Do not enter start and end date if high school
Name of School
Type of School
Street Address
City
Start Date (Month / Year)
End Date (Month / Year)
Degree
Course of Study
Other Studies

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Work History

Employer Name
Street Address
City
State / ZIP Code
Employer Phone
Supervisor Name
Job Title
Job Duties
Start Date (Month / Year)
End Date (Month / Year)
Reason For Leaving
Start Wage
End Wage
May we contact this employer for a reference check?		Yes No

Employer Name
Street Address
City
State / ZIP Code
Employer Phone
Supervisor Name
Job Title
Job Duties
Start Date (Month / Year)
End Date (Month / Year)
Reason For Leaving
Start Wage
End Wage
May we contact this employer for a reference check?		Yes No

Employer Name
Street Address
City
State / ZIP Code
Employer Phone
Supervisor Name
Job Title
Job Duties
Start Date (Month / Year)
End Date (Month / Year)
Reason For Leaving
Start Wage
End Wage
May we contact this employer for a reference check?		Yes No