ACCENT STAFFING ONLINE APPLICATION

To comply with federal employment laws, including employment eligibility verification and background screening requirements, Accent Staffing must collect certain personal information as part of the online application process, such as your date of birth and Social Security number. This information is used solely to verify your identity, confirm your authorization to work in the United States, and complete required background checks in accordance with applicable laws. We take the confidentiality and security of your personal information seriously and maintain safeguards to protect it from unauthorized access or use. Without this information, we are unable to proceed with the hiring and onboarding process.
 
Your Privacy Matters
Accent Staffing uses your personal information only for legitimate employment purposes and in compliance with applicable federal and state laws, including the Fair Credit Reporting Act (FCRA) and Form I‑9 requirements. Your information is handled securely and accessed only by authorized personnel.
PERSONAL INFORMATION
Full Name
Home Phone
Date Of Birth
Address 1
City
Email
Mobile Phone
SSN
Address 2
Post Code
AVAILABLITY AND POSITION DETAILS
Clerical Applicant
Days Available
Type of work you are interested in
What position are you applying for
Industrial Applicant
Shifts Available
Can you work overtime
Minimum Pay Rate you can accept for employment

BACKGROUND

Have you ever been convicted of a felony
Can you pass a drug screen
If yes, what year, charge, state it was in
Do you have a Medical Marijuana Card
WORK HISTORY
UPLOAD YOUR CURRENT RESUME WITH AT LEAST THE LAST 5 YEARS WORK HISTORY
EDUCATION
Did you graduate high school
High School City and State
Did you graduate from a college
Year you received your degree
Name of high school
Graduation Year or GED
College Name
Degree Earned

AMERICAN WITH DISABILITIES ACT

JOB DESCRIPTION ESSENTIAL FUNCTIONS WORKSHEET

Are you authorized to work in the United States for an employer
ARE YOU BILINGUAL
Are you climate tolerant
What is your mode of Transportation
Do you have any conditions that may need work-related accommodations
What accommodations are you needing
Have you ever had any serious wrist problems including carpal tunnel syndrome
Do you have back problems or have you sustained any back injuries
Can you work a ten (10) hour shift if required
How much can you lift continuously during an 8hr shift
Can you lift and or carry over 25 pounds regularly during your shift
Can you reach over your head with 10-25 pound loads regularly during your shift if required
Can you wear proper safety equipment (hard hats,goggles, glasses, respirators, etc
Can you work around dust and wear a respirator if required
Do you understand hazardous communication and safety information
Can you climb stairs with loads during your shift
Can you stand for long periods of time during your shift
Can you stand for 8hrs with no issues
Can you bend and stoop consistently during the day
Can you grip, grasp, or twist using your hands and wrists regularly during your shift
MILITARY
Have you ever served in the US Armed Forces including the Reserves or National Guard
What military branch were you a part of
What years were you enlisted
WORKERS COMP QUESTIONAIRE
Have you ever required medical treatment for injuries sustained on the job. If no, skips to the next section
Company name
Date of Injury
Part of body injured
Company name
Date of Injury
Part of body injured
Company name
Date of Injury
Part of body injured
Consent to Contact
 
Please select an option from the dropdown. Do not enter a phone number or email address, as those are not one of the options 3 dropdown options. You must select Opted In, Opted Out or No Preference. 
Can we contact you by Telephone
Can we contact you by Text
Can we contact you by Email
Acknowledgment

I understand that my employer is Accent Staffing, not the company where I may be assigned to work. I understand that employment is “at will” and will be limited to various staffing assignments. All job assignments are based solely upon qualifications and without regard to age, race, color, religion, sex, national origin, disability, or veteran’s status. I will notify Accent Staffing within 24 hours upon completion of each assignment or they may assume I have voluntarily separated from their employment. I will contact Accent Staffing by phone every Sunday or they may assume I have voluntarily separated from their employment. I authorize Accent Staffing to check my references. I understand that falsification, factual omission or misrepresentation of this application may result in termination.

 

Consent to Receive Text Messages

By providing your mobile number and submitting this form, you consent to receive job-related text messages from Accent Staffing, including updates on applications, interview scheduling, assignment details, and other employment-related notifications. Message and data rates may apply. Message frequency varies. You may opt out at any time by replying STOP or by calling the office at 918-622-2244. Terms and conditions are posted at accentstaffing.com

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