Applicant
 
  
*Last Name *First Name Middle Initial

 

Today's Date *Phone Number *E-Mail Address

Address
 
  
 
  
*Address *City *State *Zip Code *Years lived here


If residing at current address for less than 2 years, please provide previous address:
Previous Address Previous City Previous State Previous Zip Years lived here

Eligibility
 
*Are you legally authorized to work in the U.S.?
 
*Are you 18 or older?

Work
 
*What days and times are you available to work?
 
*Date when you will be available for work
 
*Expected hourly rate
 
*How many hours per week you expect to work
 
*Are you willing to work holidays?
 
*Are you willing to work a split shift?
 
*Are you willing to stay late in an emergency?

Transportation
 
  
*How long will it take you to
get from home to work?		 *What type of transportation
will you use?

Employment Experience (Most current first)

Name of Company Date employment started Date employment ended Name of supervisor
Phone number Job title Reason for leaving

Name of Company Date employment started Date employment ended Name of supervisor
Phone number Job title Reason for leaving

Name of Company Date employment started Date employment ended Name of supervisor
Phone number Job title Reason for leaving

Education:
 
  
 
*Grammar School *Years attended *Did you graduate?  



 
Grammar School Years attended Did you graduate?  
 
  
 
*High School *Years attended *Did you graduate?  



 
High School Years attended Did you graduate?  




College Years attended Did you graduate? Subjects studied




College Years attended Did you graduate? Subjects studied




Trade or Business School Years attended Did you graduate? Subjects studied




Trade or Business School Years attended Did you graduate? Subjects studied

Special Training
 
*Any special skills, proficiencies, or certifications? If yes, please describe

*How did you hear about us?
 

References: (Please list three persons not related to you, whom you have known at least one year and in a supervisory position)
 



*Name *Company *Position *Phone # *Years Known
 



*Name *Company *Position *Phone # *Years known
 



*Name *Company *Position *Phone # *Years known

Past History
 
*Have you ever been convicted of any criminal offense other than minior traffic violations If yes, please explain in detail

(A conviction record does not necessarily disqualify you from employment;
factors such as the date of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account)

Drug Free Policy
 
*Jennette Brothers is a drug free work place. Do you understand that we are committed to provide for its employees and guests a drug free work place at all time?

Electronic Signature

I hereby certify that the information contained in this application is true and correct. I understand that falsification of information on this application may result in my immediate dismissal. I also understand that in the event I am employed by Jennette Brothers, Inc. and am involved in theft or malicious destruction of company property, I will be prosecuted to the fullest extent allowed by law.
 
  
*Have you read and agree to
all the statements above?		 *Type your name in the box
above to sign this application



About| Overview| Company| Portals| Contact Us |Intranet

Netmasons