Personal Information

Are you at least 18 years of age and do you have the legal right to work in the United States? (Required) Yes No
 
First Name (Required)
Middle Initial
Last Name (Required)
Nickname / Preferred Name
Street Address / Apartment  
City
State / ZIP Code    
Home Phone (Required) - Area code and phone number
Other Phone - Area code and phone number
Email Address
 
 
Resume - If you have a plain-text resume, paste it into the box below.
 

Availability

  
Will you accept temporary assignments? Yes No
Do you want to work full-time or part-time? Full-time Part-time
When are you available to start?
What weekday hours are you available?
What weekend hours are you available?
How many hours are you willing to work in a week?
Are you willing to work overtime? Yes No
What is the minimum hourly pay (or annual salary) you will accept? (Required)

Hourly rate or annual salary
How much notice will you need if a position is offered to you?
How many miles are you willing to travel to a position?
What type of work are you interested in?
 

Please select all towns in which you will accept assignments:
Danbury Bethel Brookfield
New Milford Ridgefield Wilton
Norwalk    
     

Education
Enter most recent - Do not enter start and end date if the most recent is high school
Name of School
Type of school
Street Address
City  
State / ZIP Code  
Start Date (Month / Year)
End Date (Month / Year)
Degree
Major Study Area
Other Studies
 

Recent Employment

List most recent first
   
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)  
End Date (Month / Year)
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check? Yes No
   
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)  
End Date (Month / Year)
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check? Yes No
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)  
End Date (Month / Year)
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check? Yes No

 

Computer/IT Knowledge

General Accounting ADP Peachtree
QuickBooks QuickBooks Pro Quicken
Macola MPR MPR II
Lotus Notes MS Access MS Excel
MS Office MS PowerPoint MS Word
WordPerfect Oracle Windows 95 or above

 

Assembly
General Assembly Electronic Assembly Mechanical Assembly
Electro-mechanical Assembly Clean Room Assembly Blue Prints
Color Codes Deburrer Deflasher
Die Attach Assembly using a microscope Cable and Wire Harness Assembly
Prototype Assembly Schematics Rework Assembly
Production Assistant Lead Shift Supervisor
General Soldering Surface Mount Soldering Through-hole Soldering
Wire Soldering    

 

Quality Control
Production Inspection Electronic Inspection Mechanical Inspection
Electro-mechanical Inspection QA Inspector ANSI Requirements
Calipers Gauges Micrometer
Oscilloscope MIL-STD Requirements Multimeter
Spectrum Analyzer QC Auditor  

 

Accounting/Financial
Accountant Cost Accountant CPA
Staff Accountant Tax Accountant Accounting Clerk
Assistant Controller Auditor Bookkeeper
CFO Controller Credit Analyst
Credit Manager Financial Consultant Collections
Financial Analysis Journal Entries Payroll
Cost Accounting Accounting/Financial Management General Accounting
Accounts Payable Accounts Receivable Bank Reconciliations
Billing    

 

Machinery
Machine Operator Coating Machine Coil Winder
Drill Press Extruder Grinder
Injection Molding Machine Laser Lathe
Lift Machine Finisher Miller
Press Punch Printing/Pressman Screw Machine
Shrink Wrapper SMT Machine Welding
Manual Machinist Tool & Die Maker CNC Operator
CNC Set-up CNC Programmer Maintenance Mechanic
Hydraulic Systems Pneumatic Systems Mechanical Repair

 

Office Skills
Administrative Assistant Advertising/Marketing Customer Service- Office (Non-retail)
Customer Service for Manufacturing Retail Customer Service Alphanumeric Data Entry
Numeric Data Entry Database Administration Executive Assistant
General Clerical Graphic Design Human Resources
HR Assistant HR Coordinator HR Director
HR Generalist HR Manager HR Recruiter
HR Representative Personnel Clerk Commercial Lines Insurance
Personal Lines Insurance Legal Assistant Paralegal
Legal Secretary Loan Processing Mail Clerk
Marketing Assistant Medical Billing Medical Claims
Medical Terminology Office Manager Order Processing
Receptionist Sales Manager Product Sales
Sales Representative Switchboard Inbound Telemarketing
Outbound Telemarketing Teller  

 

General Labor
General Labor Food Service Worker Janitor/Custodial
Lifting 1-9 lbs Lifting 10-19 lbs Lifting 20-29 lbs
Lifting 30-39 lbs Lifting 40-50 lbs Loading/Unloading
Driving    

 

Warehouse
General Warehouse Work Coder Computerized Inventory
Manual Inventory Packer Pallet Jack
Palletizer Picker Scanner
Shrink Wrapper Stock Clerk Strapping Tool
Material Handler Shipping Clerk Receiving Clerk
Computerized DHL/FedEx/UPS Manual shipping slips Sit Down Forklift
Stand Up Forklift Cherry Picker Scissor Forklift
Supervisor Manager Expeditor

 

Drafting/Engineering
AutoCAD CAD/CAM Operator Solidworks
3D Solid Modeling Electrical Designer/Drafter Electro-mechanical Designer/Drafter
Mechanical Designer/Drafter Engineer Engineering Aide
Electrical Engineer Electro-mechanical Engineer Mechanical Engineer
Quality Engineer Engineering Tech Test Engineer

 

Manufacturing Specialities
Buyer Estimator Planner
Purchasing Scheduler Shift Supervisor
Tech Writer Electronic Tech Lab Tech
Mechanical Tech Electro-mechanical Tech Troubleshooting on the Component Level
Electronic Troubleshooting    

 

Languages
English French German
Italian Portuguese Spanish

 

Criminal History

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Required)

 

Yes No

If yes, state the nature of the crime(s) and when you were convicted:

 

 

 

I certify that the information in this application is true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize On Track Staffing to obtain information from any previous employers, educational institutions, licensing authorities or law enforcement agencies concerning my background, work habits, skills or conduct on the job (with the exception of present or past employers I have indicated are not to be contacted). I hereby release such persons or entities from all liability for damages for issuing such information.

 

When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested.

 

I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time without liability to me for wages or salary except for such wages or salary which I earned prior to the date of my termination. I understand the term of my employment shall be limited to the duration of any assignment that I accept.

 

I understand that I am applying for temporary or contract assignments. The completion of the this application process shall constitute a conditional offer of employment subject to my availability and the availability of customer assignments calling for the skill and qualifications that I possess, and I agree to consider acceptance of such assignments.

 

 

 

 

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.

 
Initials:(Required) 

 

On Track Staffing is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment depends solely on your qualifications.