The World Initiative Recruiting Agency

REQUIRMENTS
$300 processing fee (non-refundable)
ploice record
2passport size photo
health certificate
Diploma
Certificates



Personal Information
Name





Address

City
State
Zip




Phone Number
Mobile Number
Email Address





Are You eligable to work out of country?

Have You Ever Been Convicted Of A Felony?
Yes
No
Yes
No

If Selected For Employment Are You Willing To Submit to a Pre-Employment Drug Screening Test/ Back ground Check ?
Yes
No




Position
Position You Are Applying For
Available Start Date

Desired Pay



Employment Desired






Full Time

Part Time

Seasonal/Temporary

Education
School Name
Location
Years Attended
Degree Received
Major




















[
References
Name
Title
Company
Phone
















Employment History
Employer (1)

Job Title

Dates Employed



Work Phone

Starting Pay Rate

Ending Pay Rate



Address

City
State
Zip




Employer (2)

Job Title

Dates Employed



Work Phone

Starting Pay Rate

Ending Pay Rate



Address

City
State
Zip




Employer (3)

Job Title
Dates Employed



Work Phone

Starting Pay Rate

Ending Pay Rate



Address

City
State
Zip




Employer (4)

Job Title

Dates Employed



Work Phone

Starting Pay Rate

Ending Pay Rate



Address

City
State
Zip




Employer (5)

Job Title

Dates Employed



Work Phone

Starting Pay Rate

Ending Pay Rate



Address

City
State
Zip





Signature Disclaimer

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Name (Please Print)

Signature


Date