West Valley Staffing Group
Pre-employment Questionnaire
First Name:  *
Last Name:  *
SSN:  * ( Final 4 digits )
Email:  *
1) Do you have your I-9 (work status) information available which will enable completion
of paperwork to confirm your legal right to work in the U.S.?
Yes No
2) Are you willing to take a drug screen according to our policy?
Yes No
3) Are you willing to release your background information inclusive of criminal conviction records?
Yes No
 Yes I agree to the Terms of use.
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