• Personal Information
    Name:
    (Last, First, MI)    		 Phone Number:
    (Daytime)    		 Phone Number:
    (Evening)
    Mailing Address: City, State, Zip:
    E-Mail Address: Are you younger than 18 years of age?

    Preferred work status: Have you ever been employed by Preval Direct?
    Please indicate the position for which you are applying:
    How did you hear about employment opportunities at Preval Direct?
    Employee (Name)
    Other


  • Education
    Highest level of education: Degree received:
    School and state: Course of study:
    Special skills or experience:


  • Professional References
    Please list references of two people with whom you have worked (other than family members) who can attest to your work ethic.
    Reference #1 Name: Daytime Phone Number:
    What is your relationship with this person?
    Reference #2 Name: Daytime Phone Number:
    What is your relationship with this person?


  • Employment History
    Please provide the following information for your last three jobs in the space provided below, listed with the most recent first. After completing the "Employer 1" fields, click on "Employer 2" to fill in the appropriate information, then do the same for "Employer 3."

    Employer 1
     
    Employer: City, State: Telephone:
    Supervisor: Dates of employment: Position(s) held:
    Reason for leaving: Starting pay: Ending pay:
    Responsibilities: Permission to check with employer?


    Employer 1
     
    Employer: City, State: Telephone:
    Supervisor: Dates of employment: Position(s) held:
    Reason for leaving: Starting pay: Ending pay:
    Responsibilities: Permission to check with employer?


    Employer 3
     
    Employer: City, State: Telephone:
    Supervisor: Dates of employment: Position(s) held:
    Reason for leaving: Starting pay: Ending pay:
    Responsibilities: Permission to check with employer?


  • Misc Information
    1. When are you available to start work?
    2. For how many employers have you worked in the past 3 years?
    3. Are you willing to work on commission with a modest base pay?
    4. What are your expected earnings? $ per
    5. What is most important about the place you work?
    6. What positive qualities and skills would you bring to the job?


  • Submit Application
    CONDITIONS OF EMPLOYMENT

    1. The information that I have provided on this application and other application materials is accurate and true to the best of my knowledge.

    2. I understand that any misrepresentation or omission of fact on this application, resume or other application materials or during the interview or hiring process may result in refusal of employment, or if employed, immediate termination from Preval Direct.

    3. I voluntarily give Preval Direct the right to make a thorough investigation of my past employment activities as well as personal history that is job related, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies and corporations supplying such information. I hereby authorize Preval Direct to contact my former employer(s) and further authorize my former employer(s) to provide Preval Direct with pertinent information regarding my employment history.

    I have read and accept the CONDITIONS OF EMPLOYMENT. I have also reviewed this application for errors and typos. By clicking "submit" I understand that I am submitting an application for employment.

    Your application will be reviewed by our human resources department upon reciept. You will be contacted within 24 hours. If you have any questions about your application, or want to SEND A RESUME, feel free to email our recruiter, Dave Smith at jobs@prevaldirect.com or call at 207.883.8090 x1935. As always, we also welcome your visit: 51 US Route 1, Nonesuch River Plaza, Scarborough, ME.