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APPLICATION

We invite you to complete this form to apply quickly and easily. Please make sure to fill in all the required fields so that we can evaluate your application effectively.
Thank you for your interest and for trusting us!

Application

First Name

Last Name

Birthdate / Fecha de Nacimiento

Nationality / Nacionalidad

Contact Number / Teléfono de Contacto

Email

Age /Edad

Current Address /Dirección Actual

Address Line 1

Address Line 2

City

State

Zip Code

What type of transportation do you use / Transporte que utilizas

Uber

Otro/ Other

Auto propio / Your own car

Bus

Schedule available for work / Horario disponible para trabajar

Tarde / Afternoon

Mañana / Morning

Noche / Night

Durante la noche / Overnight

English Level / Nivel de Inglés

Ninguno / None

Básico / Basic

Medio / Intermediate

Avanzado / Advanced

Other languages / Otros idiomas

What position are you applying for? (1ra Opcion / 1st Option) / A qué posición aplicas

Previous work experience / Experiencia laboral previa

What position are you applying for? (2da Opción / 2nd Option) / A qué posición aplicas

Can you carry more than 50LB / Puedes cargar más de 50LB (22.5KG)

Do you have you Employment Authorization and Social Security to work in the United States? / Cuenta con su permiso de trabajo y social para trabajar en los Estados Unidos?

Yes

No

In process/ En proceso

If you have employment authorization, please specify which category / Si tienes autorización de empleo por favor especificar que categoría

Do you have any physical impairment or allergy, if you do, indicate us which / Posees algún impedimento fisico o alergia? De ser así, indícanos cuál

How did you find us? / Cómo te enteraste de nosotros?

Referred by / Referido por

Equal Employment Opportunity Policy
QIServices provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Drug Free Workplace Agreement
Contractors and Employees acknowledge that pursuant to the Federal Drug-Free Workplace Act of 1989, the unlawful manufacture, distribution, possession, or use of a controlled substance is prohibited while performing the duties and responsibilities assigned. _Itis the responsibility of Contractors and Employees to familiarize themselves with the requirements of this policy and ensure its compliance. If any Contractor or Employee is found in violation of this policy, the Agreement may be terminated.
Non Compete Agreement
By accepting our terms and continuing with the application process, you agree that if you become a Contractor or Employee of QIServices you acknowledge and recognize that during the contracting period with the Company and for a period of twelve months following the date you ceases to work for the Company and its affiliates, will not engage in any Competitive Activity or induce or attempt to induce customers, business relations or accounts of the Company or any ofits affiliates to relinquish their contracts or relationships with the Company or any its affiliates; or solicit, entice, assist or induce other employees, agents or independent contractors to leave the employ of the Company or any ofits affiliates or to terminate their engagements with the Company and/or any ofits affiliates or assist any competitors of the Company or any of its affiliates in securing the services of such employees, agents or independent contractors.
You agree that the above conditions are fair for you and for the Company and that any breach of these conditions will allow the company to apply for an injury restraining order, recognizing that this will be a right available to our company for the breach of these agreements.

I have read and agree to the Terms and Conditions and Privacy Policy

Signature / Firma

Date

Contacts Us

(786) 862-5610
(305) 370-9442
QI@QIServices.us

work Hours

Monday – Friday 9am-5pm
Saturday 9am-1pm
Sunday & Holidays Closed

Corporate Office

3750 NW 87th Ave, Suite 700 Doral, FL 33178

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qiservices.us

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