Abel Personnel , over 30 years serving the personnel needs of Harrisburg and the Central PA region

Personal Touch -- Professional Quality
"We stake our reputation on the people who work for you"

East Shore
Scottsdale Plaza,
3356 Paxton St.
Harrisburg, PA 17111
Ph: 717-561-2222
Fax: 561-0134

West Shore
1300 Market St., Suite 2
Lemoyne, PA 17043
Ph: 717-761-8111
Fax: 761-8862

Out of town:
1-888-ABEL-JOB
(1-888-223-5562)

Job Application

Please fill in as much of the form as provide, skipping those areas which do not apply. Some data fields are limited in length, so summarize as necessary.

Personal Information
Social Security Number
First Name
Middle Initial
Last Name
Address
City
State
Zip Code
Home Phone	Phone Format: 717-555-1234 limit 13 characters including spaces
Alternate Phone
Work Phone
Email	If none, enter "None"
Emergency Contact Name & Number
Educational Background
High School	School Name
City
State
Graduate	if yes click this box
(Optional)	Year of Graduation
Major
Degree

College	School Name
City
State
Graduate	if yes click this box
(Optional)	Year of Graduation
Major
Degree

Specialized or Advanced Education	School Name
City
State
Graduate	if yes click this box
(Optional)	Year of Graduation
Major
Degree

Military Service

Induction date

Discharge date

Branch

Rank

Special Training

Duties

Helpful Information
Access to a Car	Click if yes
Willing to Relocate	Click if yes
Willing to Travel	Click if yes
How Much Travel %
Employed	Click if yes

Optional Information

Height

Weight

Birth Date

Single	Married
Separated	Divorced

Children's Ages

Work History

Last or Present Position

Start Date

End Date

Company Name

Address

City

State

Zip

Type of Business

Position Held

Name of Supervisor

Gross Hourly or Annual Pay

Reason for Leaving

Duties and Responsibilities

Please be brief as only 100 characters print.

2nd Prior Position

Start Date

End Date

Company Name

Address

City