Synergy Solutions
Excellence in Recruiting

 & Talent Management Solutions

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Online Registration for consideration of employment
This is NOT a complete application

If you do not have a resume you can submit your basic information online through this online application. Understand that this is NOT a complete employment application. This form is to evaluate your current skills and previous work experience for consideration of openings we are recruiting for.  You will be required to provide additional comprehensive information and references (which will be checked) you will also be required to certify your employment status and other background information. Submit your information with the understanding that during the hiring process, pre-employment or post-employment your background, criminal, references may be checked at any time and dishonesty shall be considered as immediate grounds for termination if hired therefore you must authorize verification below.   

Registrant Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Positions Applied for
Title/Type:
Title/Type:
Contact Information - REQUIRED MUST BE REACHABLE
Cell/Mobile: Telephone is Required
Home Phone:
Email:
Work Experience
Industries/Positions worked in past 6 months to 5 years:  Click position type
Last pay rate hourly or yearly: (USD)











Other Information
Indicate your comments about why you believe you are qualified for a particular position. You may also cut and paste your electronic resume into this section:
I authorize Synergy Solutions/Synergy Executive Search/Synergy Management Solutions Staffing to verify
my employment history, criminal background and or credit and to comply with drug test requirements pre or post hire at any time.