Name
*
First Name
Last Name
Address
*
Must enter country as well.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Cell Phone
*
(###)
###
####
Home Phone
(###)
###
####
Email
*
Date available for employment
MM
DD
YYYY
If employed and under 18, can you furnish a work permit?
Have you ever been employed by this company?
Are you employed now?
May we contact your present employer?
If yes, give name & number
Type of work desired
If applying for a position where driving is required, do you have a valid driver's license in this state?
Can you perform the essential functions of the job(s) for which you are applying?
Are you available to work
Check all that apply.
Have you ever been convicted of a felony?
*
Felony?
Education completed
*
Check all that apply.
Please list school/college attended, number of years and degree or course of study
Special skills, qualifications or considerations
Summarize skills, qualifications, volunteer activities, military experience, employment, or other activities related to the job you are seeking.
1st Reference- Name
First Name
Last Name
Phone
(###)
###
####
Years known/Occupation/Relationship
2nd Reference- Name
First Name
Last Name
Phone
(###)
###
####
Years known/Occupation/Relationship
3rd Reference- Name
First Name
Last Name
Phone
(###)
###
####
Years known/Occupation/Relationship
1) Employer/Business
*
Employment Start Date
Month & Year (estimate the day, it's not a concern but required to move on).
MM
DD
YYYY
Employment End Date
Month & Year (estimate the day, it's not a concern but required to move on).
MM
DD
YYYY
Salary- Starting/Ending
2) Employer/Business
Employment Start Date
Month & Year (estimate the day, it's not a concern but required to move on).
MM
DD
YYYY
Employment End Date
Month & Year (estimate the day, it's not a concern but required to move on).
MM
DD
YYYY
Salary- Starting/Ending
3) Employer/Business
Employment Start Date
Month & Year (estimate the day, it's not a concern but required to move on).
MM
DD
YYYY
Employment End Date
Month & Year (estimate the day, it's not a concern but required to move on).
MM
DD
YYYY
Salary- Starting/Ending
Duties
Please Read the following statements carefully before submitting this application.
I certify that all answers and statements I have made on this application are true and complete without omissions. By checking below, I authorize JDM Machining, Inc. to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications.
If hired, I will be responsible for familiarizing myself with all rules and regulations of JDM Machining, Inc. as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of JDM Machining, Inc. or at my option, without notice, at any time and for any reason.
I also understand that no representative of JDM Machining Inc. has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement- signed by the president of JDM Machining, Inc.
I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time.
(Type name as signature)
JDM Statements
*
