We consider applications for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.
 

Delivery Method

I want this form automatically e-mailed to JME.

I want to print this form and mail or fax it. (If you choose this option, you still need to click the submit button at the bottom of this form. It will generate a page you can print from your browser. Do not print this page.)


General Information

Position(s) Applied for:

 

How Did You Learn About Us?

First Name:

Middle: 

Last: 

Street Address: 

City: 

State: 

Zip: 

Home Phone: 

Work Phone: 

Social Security Number (optional)

E-Mail Address:

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes No

Have you ever filed an application with us before?

Yes No

If yes, when?

Have you ever been employed with us before?

Yes No

If yes, when?

Are you currently employed?

Yes No

If yes, may we contact your present employer?

Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Proof of citizenship or immigration status will be required upon employment.

Yes No

Date You Can Start

Are you available for work: Full Time Part Time Shift Work Temporary

 

Are you currently on "Lay-off" status and subject to recall?

Yes No

Can you travel if a job requires it?

Yes No

Have you been convicted of a felony in the past seven years? Yes No

If yes, please give details here:

Education

 

High School

Undergraduate College/University

Graduate/Professional

School Name and Location

Years Completed

Diploma / Degree

Course of Study

 

Describe any specialized training, apprenticeship, skills, and extra-curricular activities

Describe any honors you have received

Other Job-Related Skills
 

Fluent languages other than English:

List professional, trade, business or civic activities and office held.
You may exclude membership which would reveal sex, race, religion, national origin, age,
ancestry, or handicap or other protected status.

 

References

Name

Address/Phone

 

Have you ever had any job-related training in the United State military?

Yes No

If yes, please describe:

Are you physically or otherwise unable to perform the duties of the job for which you are applying?

Yes No

 
Employment Experience
 

Dates Employed
From /To

Name & Address
of Employer

Supervisor

Work Performed

Hourly
Rate/
Salary

Reason for
Leaving

 

Special Skills and Qualifications
 

Summarize special job-related skills and qualifications acquired from employment or other experience.

 

Read the Following Carefully
 

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any application wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby acknowledge that any employment relationship with JME Companies is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the Company.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

By clicking the submit button, you are agreeing to this statement and submitting your application.

If you have chosen to e-mail this form, clicking "I Agree" will also send this form to JME via e-mail.

If you have chosen to print this form, clicking "I Agree" will generate a printer-friendly page.

If you don't click "I Agree" your application is not valid.

 


 
 

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