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Locations

Registration

How did you hear about us?*

Please enter the referral source name*

Have you ever worked with Exact Staff, Inc.?*

Yes No

When was the last time that you worked with us?* (format: MM/DD/YYYY)

As a condition of employment, you may be required to pass a drug screen and or background check

Are you at least 18 years old?* Yes No

If no, can you submit a work permit if hired?* Yes No

General Information

Contact Information

First Name *

Middle Name

Last Name *

Street Address *(NO P.O BOX)

Apt.

City *

State *

Zip Code *

Primary Phone (format: xxx-xxx-xxxx) *

Cell Phone (format: xxx-xxx-xxxx)

Email address:

We are committed to keeping your e-mail address confidential. The sole purpose of providing your e-mail is for immediate access to your pay stub and to receive your annual w-2. We do not sell, trade or lease e-mail address to any third parties.

If a driver's license is required for the position for which you are applying, do you have a valid driver's license?* Yes No

Driver's License Number

Driver's License State

Emergency Contact Information

Emergency Contact Name / Relationship*

Phone Number (format: xxx-xxx-xxxx)*

Additional Information

Have you ever used another name? * Yes No

NOTE: RESPONDING TO THE QUESTIONS BELOW IS VOLUNTARY. HOWEVER, ANSWERING THIS QUESTION WILL PERMIT EXACT STAFF TO MORE THOROUGHLY VERIFY YOUR EMPLOYMENT HISTORY, EDUCATION RECORD AND OTHER INFORMATION CONTAINED IN THIS APPLICATION AND EXPEDITE THE APPLICATION PROCESS.

What other names have you used in the past?

Is any additional information relative to change of name, use of an assumed name, or nickname necessary to enable a check on your work and education record? If Yes, please explain below:

Resume - If you have a plain-text resume, paste it into the box below.

Availability

Are you willing to work temporary?* Yes No

Are you looking for a full-time career position?* Yes No

Are you willing to work overtime?* Yes No

When are you available to start?*

Do you have reliable transportation to get to work every day?*

What weekday hours are you available?*

What weekend hours are you available?*

How many hours are you willing to work in a week?*

What is the minimum pay you desire? (Hourly/Salary in US dollars) *

How much notice will you need if a position is offered to you?*

How many miles are you willing to travel to a position?*

Nearest location*

Education

Enter most recent school first

School #1

Name of school*

Type of school*

Street Address *

Country *

City *

State *

Zip Code

Major Study Area*

Degree*

Start Date (Month / Year)

Actual or Expected End Date (Month / Year)*

School #2

Name of school*

Type of school*

Street Address *

Country *

City *

State *

Zip Code

Major Study Area*

Degree*

Start Date (Month / Year)

Actual or Expected End Date (Month / Year)*

School #3

Name of school*

Type of school*

Street Address *

Country *

City *

State *

Zip Code

Major Study Area*

Degree*

Start Date (Month / Year)

Actual or Expected End Date (Month / Year)*

School #4

Name of school*

Type of school*

Street Address *

Country *

City *

State *

Zip Code

Major Study Area*

Degree*

Start Date (Month / Year)

Actual or Expected End Date (Month / Year)*

School #5

Name of school*

Type of school*

Street Address *

Country *

City *

State *

Zip Code

Major Study Area*

Degree*

Start Date (Month / Year)

Actual or Expected End Date (Month / Year)*

Do you have any professional or vocational certificates, licenses or registrations, specialized training, apprenticeship, skills or extracurricular activities that are relevant to the job for which you are applying? Yes No

List any professional or vocational certificates, licenses or registrations, specialized training, apprenticeship, skills or extracurricular activities that you currently hold or have held in the past that are relevant to the job for which you are applying.

Skills

Please check the boxes for the skills that apply to you. The more skills you select, the more it will help us to find the right opportunities for you.

IMPORTANT: Please select from the dropdown or type the skills that are related to your primary type of work. The more skills you select, the more it will help us to match you with new and exciting job opportunities.

Skills

Employment History

If you were unemployed for any length of time please explain: NOTE: RESPONDING TO THE QUESTION ABOVE IS VOLUNTARY. HOWEVER, ANSWERING THIS QUESTION WILL PERMIT EXACT STAFF TO MORE THOROUGHLY VERIFY YOUR EMPLOYMENT HISTORY, EDUCATION AND OTHER INFORMATION CONTAINED IN THIS APPLICATION AND EXPEDITE THE APPLICATION PROCESS. PLEASE DO NOT PROVIDE ANY PERSONAL MEDICAL INFORMATION OR HEALTH DIAGNOSIS.

List most recent employer first

Employer #1

Company Name*

Job Title*

Currently Working Here

Street Address *

City *

State *

Zip Code *

Start Date (Month / Year)*

End Date (Month / Year)*

Supervisor Name*

Supervisor Phone Number*

Job Duties*

Reason For Leaving*

Employer #2

Company Name*

Job Title*

Currently Working Here

Street Address *

City *

State *

Zip Code *

Start Date (Month / Year)*

End Date (Month / Year)*

Supervisor Name*

Supervisor Phone Number*

Job Duties*

Reason For Leaving*

Employer #3

Company Name*

Job Title*

Currently Working Here

Street Address *

City *

State *

Zip Code *

Start Date (Month / Year)*

End Date (Month / Year)*

Supervisor Name*

Supervisor Phone Number*

Job Duties*

Reason For Leaving*

Employer #4

Company Name*

Job Title*

Currently Working Here

Street Address *

City *

State *

Zip Code *

Start Date (Month / Year)*

End Date (Month / Year)*

Supervisor Name*

Supervisor Phone Number*

Job Duties*

Reason For Leaving*

Employer #5

Company Name*

Job Title*

Currently Working Here

Street Address *

City *

State *

Zip Code *

Start Date (Month / Year)*

End Date (Month / Year)*

Supervisor Name*

Supervisor Phone Number*

Job Duties*

Reason For Leaving*

Previous Temporary Experience

Name of staffing agency:

Location of staffing agency:

Name of supervisor at staffing agency:

Name of company in which you were placed:

Location of company in which you were placed:

Name of supervisor at the company above:

Referral

Please refer two qualified friends, family or business associations to join our team. You will receive a referral bonus* when they complete 80 consecutive hours of work with exact staff.

Name:

Phone:

Type of work:

Name:

Phone:

Type of work:

*Bonuses vary depending on skills. Speak to an Exact Staff representative for more information.

Background

Terms and Conditions

EXACT STAFF IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER AND COMPLIES WITH ALL APPLICABLE LAWS PROHIBITING DISCRIMINATION BASED ON RACE, COLOR, CREED, SEX, RELIGION, AGE, NATIONAL ORIGIN OR ANCESTRY, PHYSICAL OR MENTAL DISABILITY, VETERAN STATUS, MARITAL STATUS, MEDICAL CONDITION, SEXUAL ORIENTATION, PREGNANCY, CHILDBIRTH OR RELATED MEDICAL CONDITION, AS WELL AS ANY OTHER CATEGORY PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS. WE ASSURE YOU THAT YOUR OPPORTUNITY FOR EMPLOYMENT WITH THIS COMPANY DEPENDS SOLELY ON YOUR QUALIFICATIONS.EXACT STAFF COMPLIES WITH THE ADA AND APPLICABLE STATE LAWS PROTECTING QUALIFIED INDIVIDUALS WITH KNOWN DISABILITIES. EXACT STAFF WILL ATTEMPT TO REASONABLY ACCOMMODATE THOSE INDIVIDUALS UNLESS DOING SO WOULD CREATE AN UNDUE HARDSHIP ON EXACT STAFF. ANY QUALIFIED APPLICANT OR EMPLOYEE WITH A DISABILITY WHO REQUIRES AN ACCOMMODATION TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB SHOULD REQUEST AN ACCOMMODATION UPFRONT.

EXACT STAFF TAKES ALL REASONABLE STEPS TO PREVENT UNLAWFUL DISCRIMINATION AND HARASSMENT FROM OCCURRING. UNLAWFUL HARASSMENT IS PROHIBITED BY EXACT STAFF AND AGAINST THE LAW. ANY EMPLOYEE WHO WITNESSES OR BELIEVES THEY ARE A VICTIM OF UNLAWFUL HARASSMENT OR DISCRIMINATION SHOULD IMMEDIATELY CONTACT THEIR EXACT STAFF SUPERVISOR OR THE EXACT STAFF PRESIDENT.

I CERTIFY THAT I PERSONALLY COMPLETED THIS APPLICATION. I FURTHER CERTIFY THAT I HAVE NOT KNOWINGLY WITHHELD ANY INFORMATION THAT MIGHT ADVERSELY AFFECT MY CHANCES FOR EMPLOYMENT AND THAT THE ANSWERS GIVEN BY ME ARE TRUE AND CORRECT. I UNDERSTAND THAT ANY OMISSION OR MISSTATEMENT OF MATERIAL FACT ON THIS APPLICATION, DURING MY INTERVIEWS, OR ON ANY COMPANY DOCUMENTS SHALL BE GROUNDS FOR REJECTION OF THIS APPLICATION OR FOR IMMEDIATE DISCHARGE IF I AM EMPLOYED, REGARDLESS OF THE TIME ELAPSED BEFORE DISCOVERY.

I AUTHORIZE EXACT STAFF TO THOROUGHLY INVESTIGATE MY REFERENCES, WORK RECORD, EDUCATION AND OTHER MATTERS RELATED TO MY SUITABILITY FOR EMPLOYMENT AND, FURTHER AUTHORIZE THE REFERENCES I HAVE LISTED AND MY CURRENT AND FORMER EMPLOYERS TO DISCLOSE TO EXACT STAFF ANY AND ALL LETTERS, REPORTS AND OTHER INFORMATION RELATED TO MY WORK RECORDS, WITHOUT GIVING ME PRIOR NOTICE OF SUCH DISCLOSURE. IN ADDITION, I RELEASE EXACT STAFF, MY CURRENT AND FORMER EMPLOYERS AND ALL OTHER PERSONS AND ENTITIES FROM ANY AND ALL CLAIMS ARISING OUT OF OR IN ANY WAY RELATED TO SUCH INVESTIGATION OR DISCLOSURE. I WAIVE THE RIGHT TO RECEIVE A COPY OF ANY PUBLIC RECORDS DESCRIBED IN THE ABOVE PARAGRAPH.

I UNDERSTAND THAT NOTHING IN THE APPLICATION OR CONVEYED DURING ANY INTERVIEW AND NOTHING DURING MY EMPLOYMENT, IF HIRED, IS INTENDED TO CREATE A CONTRACT FOR CONTINUED EMPLOYMENT WITH EXACT STAFF AND/OR EXACT STAFF’S CUSTOMERS. I UNDERSTAND THAT IF HIRED, MY EMPLOYMENT WILL BE AT-WILL, WHICH MEANS I CAN BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE OR NOTICE, AT THE OPTION OF EITHER MYSELF OR EXACT STAFF OR EXACT STAFF'S CUSTOMERS AND THAT NO PROMISES OR REPRESENTATIONS CONTRARY TO THIS ARE BINDING, UNLESS IN WRITING AND SIGNED BY ME (OR MY AUTHORIZED REPRESENTATIVE) AND EXACT STAFF'S DESIGNATED REPRESENTATIVE.

I UNDERSTAND THAT IF GIVEN AN ASSIGNMENT, MY PAY STARTS WHEN I REPORT TO EXACT STAFF'S CUSTOMER AND I WILL BE PAID FOR HOURS ACTUALLY WORKED. I UNDERSTAND THAT ON SOME JOBS, EXACT STAFF'S CUSTOMERS MAY OFFER ME REGULAR FULL TIME EMPLOYMENT. I ALSO UNDERSTAND THAT EXACT STAFF HAS AGREEMENTS WITH ITS CUSTOMERS WHICH GENERALLY PROVIDE THAT EXACT STAFF EMPLOYEES MUST BE PLACED WITH THE CUSTOMER FOR A MINIMUM OF 520 CONSECUTIVE HOURS BEFORE THE CUSTOMER CAN OFFER REGULAR FULL TIME EMPLOYMENT TO THE EXACT STAFF EMPLOYEE. SHOULD I BE OFFERED FULL TIME EMPLOYMENT BY ANY EXACT STAFF CUSTOMER, I AGREE TO IMMEDIATELY NOTIFY EXACT STAFF.

I UNDERSTAND THAT AS A CONDITION OF MY EMPLOYMENT, I MAY BE REQUIRED, PRIOR TO AND/OR DURING EMPLOYMENT, TO TAKE AND PASS DRUG AND ALCOHOL TESTS. BY SIGNING THIS APPLICATION, I CONSENT TO THE TESTS.

I UNDERSTAND THAT ANY PERSON WHO MAKES OR CAUSES TO BE MADE ANY KNOWINGLY FALSE OR FRAUDULENT STATEMENT OR MATERIAL MISREPRESENTATION FOR THE PURPOSE OF OBTAINING OR DENYING WORKERS COMPENSATION BENEFITS IS GUILTY OF A CRIME.

I UNDERSTAND THAT MY EMPLOYER IS EXACT STAFF AND NOT EXACT STAFF'S CUSTOMERS,

I ACKNOWLEDGE THAT IF I HAVE ANY QUESTIONS ABOUT THIS APPLICATION, I CAN ASK AN EXACT STAFF REPRESENTATIVE FOR EXPLANATIONS.

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF THIRTY (30) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.

I AGREE THAT ANY DISPUTE BETWEEN ME AND EXACT STAFF ARISING OUT OF OR RELATING TO MY APPLICATION FOR EMPLOYMENT WILL BE SUBMITTED TO INDIVIDUAL BINDING ARBITRATION IN ACCORDANCE WITH THE EMPLOYMENT DISPUTE ARBITRATION RULES OF THE AMERICAN ARBITRATION ASSOCIATION, WHICH CAN BE OBTAINED AT WWW.ADR.ORG. CLASS OR COLLECTIVE ACTIONS ARE NOT PERMITTED BY THIS ARBITRATION AGREEMENT. ANY ISSUES REGARDING THE SCOPE OR VALIDITY OF THIS ARBITRATION AGREEMENT SHALL BE DECIDED BY A COURT OF COMPETENT JURISDICTION AND NOT THE ARBITRATOR. IF I BECOME EMPLOYED BY EXACT STAFF, I UNDERSTAND THAT I WILL BE REQUIRED TO SIGN THE MUTUAL AGREEMENT TO ARBITRATE CLAIMS AS A CONDITION OF EMPLOYMENT.

Please take a moment to review your application. Indicate that you have read the above statement by entering your initials in the box below. To complete this application, click on the Submit Application button.

By clicking the Submit Application button, you agree to our Privacy Policy.

I agree with the Terms & Conditions*

Initials*

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Exact Staff, Inc. Privacy Policy

Effective Date: August 1, 2017

Exact Staff, Inc. respects your privacy. As such, we have developed the following Privacy Policy. This Privacy Policy applies to (1) our job candidates/applicants, (2) our associates, who are people we source or place on assignment with one of our clients, or individuals to whom we provide career transition services, (3) users of the websites, apps, and online resources and (4) representatives of our clients and vendors. This Policy does not apply to our headquarters and branch-based staff employees, who are individuals employed by Exact Staff, Inc. and who work directly for Exact Staff, Inc. and not directly with an Exact Staff, Inc. client.

The Policy explains the types of personal information we collect, how we use the information, with whom we share it, and the rights of individuals regarding use of their information. It also addresses the measures we take to protect the security of the information.

Information We Collect

We collect personal information about you in various ways, such as through our online application process, website, social media channels; documents you provide to us, information obtained at our events and through phone and fax; through job applications and in connection with in-person recruitment; and in connection with our interactions with clients and vendors. We may collect the following types of personal information (as permitted under federal, state and local law):

contact information (such as name, postal address, email address and telephone number);user name and password when you register on any of our online sites;
payment information (such as pay card number, expiration date, authorization number or security code);
information you provide about friends or other people you would like us to contact; and other information you may provide to us, such as in surveys or other features on our sites.

In addition, if you are an associate or job candidate and you apply for a position or create an account to apply for a position, we may collect the following types of personal information (as permitted under federal state and local law):

employment and education history;
bank account information;
citizenship and work authorization status;
disabilities and health-related information;
results of drug tests and criminal and other background checks;
benefits information;
tax-related information;
information provided by references;
information contained in your resume or C.V., information you provide regarding your career interests, and other information about your qualifications for employment.
language proficiencies and other work-related skills;
Social Security number, national identifier or other government-issued identification number;
date of birth;
gender;

In addition, we may collect information you provide to us about other individuals, such as information related to emergency contacts.

How We Use The Information We Collect

We use the information described above to perform the following activities (as permitted under federal, state and/or local law):

Providing workforce solutions and connecting people to work;
creating and managing online accounts;
processing payments;
managing our client and vendor relationships;
sending promotional materials, alerts regarding available positions and other communications;
communicating about, and administering participation in, special events, promotions, programs, offers, surveys, contests and market research;
responding to individuals’ inquiries;
operating, evaluating and improving our business (including developing, enhancing, analyzing and improving our services; managing our communications; performing data analytics; and performing accounting, auditing and other internal functions);
protecting against, identifying and seeking to prevent fraud and other unlawful activity, claims and other liabilities; and complying with and enforcing applicable legal requirements, relevant industry standards, contractual obligations and our policies.

In addition to the activities listed above, if you are an associate or job candidate and you apply for a position or create an account to apply for a position, we use the information described in this Privacy Policy to:

Provide you with job opportunities and work;
provide HR services to you, including administration of benefit programs, payroll, performance management and disciplinary actions;
provide additional services to you, such as training, career counseling and career transition services;
assess your suitability as a job candidate and your associate qualifications for positions; and perform data analytics, such as (i) analyzing our job candidate and associate base; (ii) assessing individual performance and capabilities, including scoring on work-related skills; (iii) identifying skill shortages; (iv) using information to match individuals and potential opportunities, and (v) analyzing pipeline data (trends regarding hiring practices).

We also may use the information in other ways for which we provide specific notice at or prior to the time of collection.

Information We Share

We do not disclose personal information we collect about you, except as described in this Privacy Policy or in separate notices provided in connection with particular activities. We share personal information with vendors who perform services on our behalf based on our instructions. We do not authorize these vendors to use or disclose the information except as necessary to perform services on our behalf or comply with legal requirements. We also may share your personal information (i) with our subsidiaries and affiliates; (ii) if you are a job candidate, with clients who may have job opportunities available or interest in placing our job candidates; and (iii) with others with whom we work, such as job placement consultants and subcontractors, to find you a job.

In addition, we may disclose information about you (i) if we are required to do so by law or legal process; (ii) to law enforcement authorities or other government officials based on a lawful disclosure request; and (iii) when we believe disclosure is necessary or appropriate to prevent physical harm or financial loss, or in connection with an investigation of suspected or actual fraudulent or illegal activity. We also reserve the right to transfer personal information we have about you in the event we sell or transfer all or a portion of our business or assets (including in the event of a reorganization, dissolution or liquidation).

Your Rights And Choices

We offer you certain choices in connection with the personal information we collect about you and how we communicate with you. To update your preferences, ask us to remove your information from our mailing lists, exercise your rights or submit a request, please contact us as indicated below. To the extent provided by the law of your jurisdiction, you may request access to the personal information we maintain about you or request that we correct, amend, delete or block the information by contacting us as indicated below. Where provided by law, you may withdraw any consent you previously provided to us or object at any time on legitimate grounds to the processing of your personal information, and we will apply your preferences going forward.

Notice To California Residents

Subject to certain limitations, California residents may ask us to provide them with (i) a list of certain categories of personal information that we have disclosed to third parties for their direct marketing purposes during the immediately preceding calendar year, and (ii) the identity of those third parties. To make this request, California residents may contact us as set forth below.

How We Protect Personal Information

We maintain administrative, technical and physical safeguards designed to protect the personal information you provide against accidental, unlawful or unauthorized destruction, loss, alteration, access, disclosure or use.

Links To Third-Party Sites, Apps and Services

For your convenience and information, our Sites may provide links to third-party sites, apps and services that may be operated by companies not affiliated with Exact Staff, Inc. These companies may have their own privacy notices or policies, which we strongly suggest you review. We are not responsible for the privacy practices of any non-Exact Staff, Inc. sites, apps or services.

Updates To Our Privacy Policy

This Privacy Policy may be updated periodically to reflect changes in our personal information practices. For significant changes, we will notify you by posting a prominent notice on our Sites indicating at the top of the Policy when it was most recently updated.

How To Contact Us

If you have any questions or comments about this Privacy Policy, would like to exercise your rights or would like us to update information we have about you or your preferences, please write to:

Exact Staff, Inc.

Attn: I.T. Department

23901 Calabasas Rd, Suite 1085

Calabasas, CA 91302