DDS STAFFING RESOURCES, INC.
On-Line Application

All boxes marked with * are required.

Section 1 (Name, Address, Phone)

*First Name   *Last Name

*Professional Title

If applying for a specific job listed, please note the job title and location below.

*Address

*City   *State    *Zip

* Home Phone

Work Phone

*E-mail address

*How did you hear about us? 
                         Other Source: 

Section 2 (Type of work desired)

* Permanent              Full-Time          Part-Time

If Temporary, please check days available:     M     T    W      Th      F   S

Preferred hours          to            

Section 3   OUT OF STATE APPLICANTS: (please complete these questions only if you live outside the state of Georgia.  All others, skip to the next section.)

           Are you planning to relocate to Georgia?     Yes   No
                      If you answered "no" to the above question, we will be unable to assist you in your job
                       search.   We currently place professionals in the state of Georgia exclusively. 

           When do you plan to move to Georgia?

Section 4 (About Your Situation)

*General Description of Your Skills

*What are your short term goals?

*Describe your current situation (employed full-time, employed temporarily, unemployed, etc.)

*Describe your ideal job

If you have a resume, please paste TEXT here

Section 5 (The Agreement)

Disclosure Statement
(This statement is required by the Federal Government for your protection.)

I hereby acknowledge the filing of my application with DDS Staffing Resources, Inc to assist me in securing employment.

I understand that an investigative report may be obtained by DDS Staffing Resources, Inc. and presented to prospective employers for evaluation.  This investigative report may include information concerning my character, personal characteristics, general reputation, mode of living and financial responsibility.

I further understand that I have the right to make a request to DDS Staffing Resources, Inc. to learn the complete nature and scope of the investigative report.

I hereby acknowledge that I have read and understand this statement and hereby authorize DDS Staffing Resources, Inc to obtain an investigative report as described above.

If you agree to the terms listed above, press "I Agree" to continue.