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Employment Application

Your Contact Information*
Address:
How long
Email Address*
Social Security Number
Phone*
-
If under 18, please list age:
Position applied for & salary desired (Be specific)(1)
Position applied for & salary desired (Be specific)(2)
Days/Hours available to work
How many hours can you work weekly?
Can you work nights?
Employment Desired
When are you available to start?
Name of High School:
Address of High School:
Number of Years Completed:
Major & Degree:
Name of College:
Address of College:
Number of Years Completed College:
College Major & Degree:
Name of Bus. or Trade School:
Address of Bus. or Trade School:
Number of Years Completed Bus. or Trade School:
Bus. or Trade School Major & Degree:
Name of Professional School:
Address of Professional School:
Number of Years Completed Professional School:
Professional School Major & Degree:
Have you ever been convicted of a crime?
Do you have a driver's license?
What are your means of transportation to work?
Driver's License Number:
State of Issue
Expiration Date:
Have you had any accidents in the past three years?
How many accidents?
Have you had any moving violations in the past three years?
How many moving violations?

Please list two references other than relatives or previous employers.

Name (1):
Position (1):
Company (1):
Address (1):
Phone (1):
-
Name (2):
Position (2):
Company (2):
Address (2):
Phone (2):
-
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
Have you ever been in the Armed Forces?
Are you now a member of the National Guard?
Specialty:
Date Entered
Discharge Date:

Work Experience

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional resume if necessary.

Name of Employer (1):
Name of Last Supervisor(1)
Address of Employer (1)
Phone of Employer (1)
-
Employment Start Date (1):
Employment End Date: (1)
Starting Pay (1)
Ending Pay (1)
Last Job Title (1)
Reason for leaving (be specific)(1)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. (1)
Name of Employer (2):
Address of Employer (2):
Phone of Employer (2):
-
Name of Last Supervisor (2):
Employment Start Date (2):
Employment End Date (2):
Ending Pay (2):
Last Job Title (2):
Reason for leaving (be specific) (2):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. (2):
May we contact your present employer?
Upload Resume:

Please read carefully.

Application Form Waiver

In exchange for the consideration of my job application by JWilson's (hereinafter called "the Company"), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of JWilson's , or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and JWilson's may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation. personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

Signature of Applicant:
Date:

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. 

Thank you for completing this application form and for your interest in our business.