Welcome to SCOSS Application

Step 1 of 4
If no Middle Name, please enter NMN
(111) 222 3333
name@domain.com
Please select the position at the current location, shift, & classification that you currently hold
Enter Preferred Shift
MM/DD/YYYY
Do Not Include Benefits
Enter the Name of HS Attended
Enter the Street, City, St, Country, Zip for the HS Attended

Certifications

Employment History

Company Name
Enter your position title
Enter Immediate Supervisor’s Name
(111) 222 3333
(111) 222 3333
name@domain.com
(111) 222 3333
name@domain.com
(111) 222 3333
name@domain.com
Click Choose File to Upload
** Note ** If you have not yet attached your resume; do so now using the “Choose File” Button Item above this dialogue box.
Enter Name as Signature
Checking this box constitutes a legal signature confirming that I acknowledge and agree to the above disclaimer.