Employment Application

First Name:
Middle Name:
Last Name:
Email Address:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Cell Phone:
Date of Birth:
Are you a US citizen? Yes No
If No, Are you authorized to work? Yes No
Have you ever worked for Uplink before? No Yes
Have you ever committed a felony? No Yes
If Yes, Explain:
Have you ever been convicted of a criminal offense? No Yes
If Yes, Explain:
Transportation: Car Bus Other
Position
Education: High School Vo-Tech College Post-Graduate
Skills:
Desired Salary: Per Year Per Hour
Desired Shift: Full-Time Weekdays
1st Shift 2nd Shift 3rd Shift

Weekends
1st Shift 2nd Shift 3rd Shift

Part Time
Days Evenings
Employment History: (Most Recent First)
Company: Position: Start Date End Date: Salary:
Paste Your Resume:

5901 Brooklyn Boulevard   Suite 211  Brooklyn Center, MN 55429   Phone:763-971-8888    Fax:763-971-8892