<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("EmpApp_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "EmpAppPage1", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(44) Dim arFormDBFields0(44) Dim arFormValues0(44) arFormFields0(0) = "HrsAvailtoWorkFri" arFormDBFields0(0) = "HrsAvailtoWorkFri" arFormValues0(0) = Request("HrsAvailtoWorkFri") arFormFields0(1) = "Telephone" arFormDBFields0(1) = "Telephone" arFormValues0(1) = Request("Telephone") arFormFields0(2) = "CurrentAddress" arFormDBFields0(2) = "CurrentAddress" arFormValues0(2) = Request("CurrentAddress") arFormFields0(3) = "WhenStart" arFormDBFields0(3) = "WhenStart" arFormValues0(3) = Request("WhenStart") arFormFields0(4) = "Under18" arFormDBFields0(4) = "Under18" arFormValues0(4) = Request("Under18") arFormFields0(5) = "BusorTradeAddress" arFormDBFields0(5) = "Bus or Trade Address" arFormValues0(5) = Request("BusorTradeAddress") arFormFields0(6) = "CollegeName" arFormDBFields0(6) = "College Name" arFormValues0(6) = Request("CollegeName") arFormFields0(7) = "BusorTradeMajorDegree" arFormDBFields0(7) = "Bus or Trade Major - Degree" arFormValues0(7) = Request("BusorTradeMajorDegree") arFormFields0(8) = "HighSchoolName" arFormDBFields0(8) = "High School Name" arFormValues0(8) = Request("HighSchoolName") arFormFields0(9) = "EmpDesired" arFormDBFields0(9) = "EmpDesired" arFormValues0(9) = Request("EmpDesired") arFormFields0(10) = "ProfessionalSchoolName" arFormDBFields0(10) = "Professional School Name" arFormValues0(10) = Request("ProfessionalSchoolName") arFormFields0(11) = "CollegeComp" arFormDBFields0(11) = "College Comp" arFormValues0(11) = Request("CollegeComp") arFormFields0(12) = "HighSchoolComp" arFormDBFields0(12) = "High School Comp" arFormValues0(12) = Request("HighSchoolComp") arFormFields0(13) = "ApCity" arFormDBFields0(13) = "ApCity" arFormValues0(13) = Request("ApCity") arFormFields0(14) = "MiddleName" arFormDBFields0(14) = "MiddleName" arFormValues0(14) = Request("MiddleName") arFormFields0(15) = "ProfessionalSchoolComp" arFormDBFields0(15) = "Professional School Comp" arFormValues0(15) = Request("ProfessionalSchoolComp") arFormFields0(16) = "CollegeAddress" arFormDBFields0(16) = "College Address" arFormValues0(16) = Request("CollegeAddress") arFormFields0(17) = "HrsAvailtoWorkWkly" arFormDBFields0(17) = "HrsAvailtoWorkWkly" arFormValues0(17) = Request("HrsAvailtoWorkWkly") arFormFields0(18) = "BusorTradeSchoolName" arFormDBFields0(18) = "Bus or Trade School Name" arFormValues0(18) = Request("BusorTradeSchoolName") arFormFields0(19) = "CollegeMajorDegree" arFormDBFields0(19) = "College Major - Degree" arFormValues0(19) = Request("CollegeMajorDegree") arFormFields0(20) = "HSMajorDegree" arFormDBFields0(20) = "HS Major - Degree" arFormValues0(20) = Request("HSMajorDegree") arFormFields0(21) = "HrsAvailtoWorkSat" arFormDBFields0(21) = "HrsAvailtoWorkSat" arFormValues0(21) = Request("HrsAvailtoWorkSat") arFormFields0(22) = "HrsAvailtoWorkThur" arFormDBFields0(22) = "HrsAvailtoWorkThurs" arFormValues0(22) = Request("HrsAvailtoWorkThur") arFormFields0(23) = "HrsAvailtoWorkTue" arFormDBFields0(23) = "HrsAvailtoWorkTue" arFormValues0(23) = Request("HrsAvailtoWorkTue") arFormFields0(24) = "PositionAppliedFor" arFormDBFields0(24) = "PositionAppliedFor" arFormValues0(24) = Request("PositionAppliedFor") arFormFields0(25) = "Maiden" arFormDBFields0(25) = "Maiden" arFormValues0(25) = Request("Maiden") arFormFields0(26) = "ProfessionalSchoolMajor" arFormDBFields0(26) = "Professional School Major" arFormValues0(26) = Request("ProfessionalSchoolMajor") arFormFields0(27) = "HrsAvailtoWorkWed" arFormDBFields0(27) = "HrsAvailtoWorkWed" arFormValues0(27) = Request("HrsAvailtoWorkWed") arFormFields0(28) = "BusorTradeComp" arFormDBFields0(28) = "Bus or Trade Comp" arFormValues0(28) = Request("BusorTradeComp") arFormFields0(29) = "RateDesire" arFormDBFields0(29) = "RateDesire" arFormValues0(29) = Request("RateDesire") arFormFields0(30) = "YrsatAddress" arFormDBFields0(30) = "YrsatAddress" arFormValues0(30) = Request("YrsatAddress") arFormFields0(31) = "NatureofCrime" arFormDBFields0(31) = "Nature of Crime" arFormValues0(31) = Request("NatureofCrime") arFormFields0(32) = "SSN" arFormDBFields0(32) = "SSN" arFormValues0(32) = Request("SSN") arFormFields0(33) = "ApZipCode" arFormDBFields0(33) = "ApZipCode" arFormValues0(33) = Request("ApZipCode") arFormFields0(34) = "HighSchoolAddress" arFormDBFields0(34) = "High School Address" arFormValues0(34) = Request("HighSchoolAddress") arFormFields0(35) = "ProofEligtoWork" arFormDBFields0(35) = "ProofEligtoWork" arFormValues0(35) = Request("ProofEligtoWork") arFormFields0(36) = "FirstName" arFormDBFields0(36) = "FirstName" arFormValues0(36) = Request("FirstName") arFormFields0(37) = "ProfessionalSchoolAddress" arFormDBFields0(37) = "Professional School Address" arFormValues0(37) = Request("ProfessionalSchoolAddress") arFormFields0(38) = "USEligtoWork" arFormDBFields0(38) = "EligtoWorkinUS" arFormValues0(38) = Request("USEligtoWork") arFormFields0(39) = "LastName" arFormDBFields0(39) = "LastName" arFormValues0(39) = Request("LastName") arFormFields0(40) = "ConvictedofCrime" arFormDBFields0(40) = "Convicted of Crime" arFormValues0(40) = Request("ConvictedofCrime") arFormFields0(41) = "HrsAvailtoWorkSun" arFormDBFields0(41) = "HrsAvailtoWorkSun" arFormValues0(41) = Request("HrsAvailtoWorkSun") arFormFields0(42) = "HrsAvailtoWorkMon" arFormDBFields0(42) = "HrsAvailtoWorkMon" arFormValues0(42) = Request("HrsAvailtoWorkMon") arFormFields0(43) = "ApState" arFormDBFields0(43) = "ApState" arFormValues0(43) = Request("ApState") FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close FP_FormConfirmation "text/html; charset=windows-1252",_ "Form Confirmation",_ "Thank you for submitting the following information:",_ "EmployementApp.asp",_ "Return to the form." End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> Employement Application
Planet Payroll Inc.
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Employment Application
Planet Payroll Incorporated Employment Application

Please fill in all information requested except Signature.

All information in application will ONLY be used by Planet Payroll's HR department and will not be given to any other sources!

 

Last Name: First: Middle: Maiden:

Present Address:

City: State: Zip Code:

How Long at Current Address?: SSN:   

Telephone: Are you under age 18?: ,

 if "Yes", can you provide proof of your eligibility to work?:

Are you currently authorized to work in the United States?: Proof of eligibility will be required if hired.

Position Applied for: Wage Desired:   

Days/hours available to work:

No Pref: Mon: Tues: Wed: Thur: Fri: Sat: Sun:

How many hours can you work weekly?:

Employment Desired: When can you start?:  

Type of School Name of School Location Number of Yrs Comp Major/Degree
High School  
College  
Bus. or Trade
Professional

Have you ever been convicted of a crime which is substantially related to the functions or qualifications of the job for which you are applying?:

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed and type(s) of rehabilitation.

 

 
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