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Application for Employment

Enter the requested information in each field, and then tab to the next field. Some of the fields are mandatory, designated by an asterisk (*). If you prefer, you can print this form and mail it to:

Accent Business Services, Inc.
Attention: Recruiter
7710 NE Greenwood Drive, Suite 170
Vancouver, Washington 98662

Please make sure all required fields are filled in.

General

First Name *	Middle	Last Name *

Position Desired *	Salary Desired (W-2 hourly) *	Availability *

Are you willing to travel? *	YN
Are you interested in project work? *	YN
Are you currently employed? *	YN
May we contact your current employer? *	YN
Do you have the legal right to work in the U.S.? *	YN
If no, please explain.
Have you ever been convicted of a felony? *	YN
If yes, please explain.
Where did you hear about us? *

Location

Street Address	City	State	Zip

Phone (Home) *	Phone (Work or Cell)	E-mail Address *

What's the best method and time to contact you? *

Employment History

Company / Phone *

Position / Reason for Leaving *

Duration (MM/YY)

From*

To*

Company / Phone

Position / Reason for Leaving

Duration (MM/YY)

From

Company / Phone

Position / Reason for Leaving

Duration (MM/YY)

From

Other Employment Information

Education

High School	Graduated? Y N
Name / Location *
Subjects Studied

College	Graduated? Y N
Name / Location
Subjects Studied

Graduate	Graduated? Y N
Name / Location
Subjects Studied

Other	Graduated? Y N
Name / Location
Subjects Studied

References

First Name *		Last Name *
Title *		Company *
Phone *		E-mail

First Name		Last Name
Title		Company
Phone		E-mail

First Name		Last Name
Title		Company
Phone		E-mail