Employment - Jims USA

General Data

Name *

First

Middle

Last

Present Address *

Address Line 1

City

State

Zip Code

Phone Number *

Position Applying For *

Date of Application *

Full Time or Part Time? *

Shift or Hours Preferred *

Social Security Number

If employed in the position for which you have applied, would you be in a supervisory or subordinate relationship to any relative or member of your household? *

Yes
No

Personal Data

Person to notify in case of an Emergency *

Phone Number *

Emergency Contact's Address *

Address Line 1

City

State

Zip Code

How did you learn about this job opening? *

If you selected "Friend" or "Other", please specify your answer below.

List members in professional organizations which you feel would enhance your application. You may exclude any whose names would indicate the race, religious, creed, color, national origin, or Ancestry of its members.

If under 18 years of age, can you submit a work permit? *

Yes
No

Skills

Machines Operated: *

Other Training / Skills, including Bilingual Ability: *

Professional & Technical Applicants ONLY

Is there any reason why you would be unable to perform or to safely perform any of these duties of the position for which you have applied, as set forth on the job description for that position? *

Yes
No

If "Yes", please explain:

Education

Trade, Professional School or Other

School Name *

Course or Major *

Total Years Attended *

Did you receive your degree? *

Work Experience

Please fully account for all time, including periods of unemployment and any prior employment by this company. Begin with your most recent job.

Last Present Employer *

Address *

Phone Number *

Your Job Title *

Reason for Leaving: *

Length of Service (Start & Finish Dates) *

Duties Performed *

Employer *

Address *

Phone Number *

Supervisor's Name & Position *

Your Job Title *

Reason for Leaving: *

Length of Service (Start & Finish Dates) *

Duties Performed *

Cover Letters & Resumes

Please upload a PDF version of your cover letter and resume *

Click or drag a file to this area to upload.

Email

EMPLOYMENT APPLICATION

General Data

Personal Data

Skills

Professional & Technical Applicants ONLY

Education

Trade, Professional School or Other

Work Experience

Cover Letters & Resumes