RBA Staffing

Connecting skilled people to great jobs

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Employment Application

Thank you for taking the time to complete our online employment application. Please fill out the application below as completely as possible. This application will take approximately 15 minutes to complete.

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Personal Information
  1. Please enter your first name
  2. Please enter your last name
  3. Please enter numbers only
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  6. Please enter your email address in the correct format

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

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  1. Please enter the name of the school you last attended
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Recent Employment
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  1. Please enter the name of the most recent company you worked for
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  3. Hourly rate or annual salary
  4. Hourly rate or annual salary

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  1. Please enter the name of the previous company you worked for
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  3. Hourly rate or annual salary
  4. Hourly rate or annual salary

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I certify that the statements I have made are 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 obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person 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 am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the employer to inform me that a routine inquiry may be made that will provide applicable information concerning my character, my general reputation, my personal characteristics and my credit history. Upon written request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

I understand that I am applying for temporary or contract assignments. The completion of 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.

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“RBA has been very helpful with the entire process of bringing Temps onboard with EBS-RMSCO.”
- Amy L. Spotts, EBS-RMSCO, Inc.

“I have been working with RBA Staffing for six years. They exceed my expectations in the time it takes them to place candidates as well as the quality of the candidates.”