SLSS New Employment Application Questions 9-2019

Employment Application Form

General Information

Let’s take time to get to know you.

Please take a few minutes to answer the questions below to make sure our working environment meets your expectations and to assure we are a right fit for your employment needs.

Please note: This application form was designed for use by persons applying for various types of positions. Please answer the questions to the best of your ability.

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on the basis of race, color, creed, religion, national origin, age, sex, sexual orientation, gender, gender expression or identity, marital status, veteran status, pregnancy, physical or mental disability, genetic characteristics or any other basis protected by federal, state or local law, ordinance or regulation. The Company will reasonably accommodate qualified individuals with known disabilities unless the accommodations would impose undue hardship on the Company’s operation.

Education Information

For Clerical Applicants Only:

Employment History

List all employers, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information.

Next Most Recent Employer

Next Most Recent Employer

Next Most Recent Employer

Other Information



Certification and Authorization

The above information is true and correct. I understand and agree that Simplified Labor Staffing Solutions, Inc. may verify the information provided and that any falsification of information will constitute grounds for immediate dismissal, whenever discovered.

I authorize the Company to inquire into my education, past employment history, and references as needed to research my qualifications for this position.

I understand that Simplified Labor Staffing Solutions, Inc. is committed to maintaining a safe, efficient, and drug free environment, and that any offer of employment is contingent upon the results of a drug screen. Further, I understand that any offer made to me, verbal or written, will be rescinded and voided if I refuse to comply with the drug screen process.

I understand that although the Company is not asking about criminal convictions on this Application, that should I receive an offer of employment, the Company may conduct a criminal background check and may also inquire whether i have been convicted of a criminal offence, felony or misdemeanour (exclusive of any juvenile convictions, marijuana related conviction over two years old; any conviction for which the record has been judicially ordered sealed, expunged, or statutorily eradicated; any misdemeanour conviction for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed; or any arrest for which a pretrial diversion program has been successfully completed.). I understand that if i am denied employment based upon my criminal history, the Company will provide me with a written assessment of how my criminal history disqualifies me from performing the job, and will offer me the opportunity to provide mitigating information.

If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for the completion of Form I-9.

If employed, and in consideration of my employment, I agree to confirm to the rules, procedures and policies of Simplified Labor Staffing Solutions, Inc. I understand that if i am hired, my employment will be at-will.

I hereby acknowledge that i have read and agree to the above statements.

Simplified Labor Staffing Solutions, Inc. requires that all disputes regarding employment with Simplified Labor Staffing Solutions, Inc. and regarding the application for employment with Simplified Labor Staffing Solutions, Inc. be resolved through binding arbitration. If employed, and in consideration of my employment, I agree to be bound by Simplified Labor Staffing Solution, Inc.’s arbitration policy.

Corporate Office


3 Pointe Dr. #210 Brea, CA 92821

New Jersey

519 Elizabeth ave, Elizabeth, NJ, 07206


2122 S. Atlantic Blvd Commerce, CA 90040


10919 Atlantic Ave Lynwood, CA 90262

Sumner, Washington

615 E Pioneer, Suite 207 Puyallup, WA 98372


14714 Whittier Blvd Whittier, CA 90603


1035 S. Millken Ave Suite A Ontario, CA 91761


860 E. Carson St #114 Carson, CA 90745

Washington Branch

Tacoma, Washington

1314 72nd St E Ste E Tacoma, WA 98404

Puyallup, Washington

2713 East Main St Puyallup, WA 98372

Auburn, Washington

502 16th St Ne Ste C306 Auburn, WA 98002

Georgia Branch

Savannah, Georgia

10010 Abercorn Street Ste #7 Savannah, GA 31406