Employee Application | Queenshade DDD Services

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Position Applying For *

Address

Street Address *

City *

State *

Zip Code *

Emergency Contact

Contact Name *

Contact Phone *

Eligibility

Are you a US citizen? *

Yes

Ever convicted of a felony? *

Yes

Signature

Sign below using your mouse or finger (on mobile).

Security Check

What is 12 + 9? *

By submitting this form, I hereby authorize Queenshade LLC to request and receive from all prior employers any and all pertinent information concerning my prior appointment and its termination, including the reason for such termination.

What happens after you submit?

You'll receive an email with your next steps (Fingerprint, Drug Test, CPR).
Complete those 3 steps, then visit our office at 1200 Clinton Avenue Suite 100, Irvington, NJ 07111.
Your email will include a link to fill in additional details (education, references, documents) online before your visit — or you can do it at the office.

Employee Application Form