Job Application | JAMES PETERSON SONS

JPS Job Application Form

APPLICATION FOR EMPLOYMENT NOTE: You are not required to answer any questions on this form that you feel would infringe on your personal or legal rights….. This company is an equal employment opportunity employer, we will not tolerate discrimination because of sex, color, ancestry, disability, marital status, race religion, age, use of lawful products, arrest or conviction record, honesty testing, national origin, pregnancy or childbirth, sexual orientation, genetic testing or military service membership, all qualified applicants are welcome to submit applications for employment.

Job Application Form

Job Applying For

Title

First Name

Last Name

Email Address

Street Address

Contact Number

City

If Related To Anyone at JPS, State Name

State

Referred By

College

Trade, Business, Correspondence School

College Name and Location

Trade, Business, Cor. School Name and Location

College Certificate or Degree

Trade, Business, Cor. School Certificate or Degree

Did You Graduate College?

Yes

Did You Graduate Trade, Business, Cor. School?

Yes

Subjects of Special Study

Activities (Civic, Athletic, Professional)

Apprenticeship or Internship

What Trade of Program (List Dates, Numbers of Hours Served on the Job, Classroom Hours)

Additional Training, Experience, and/or Equipment or Machinery you are proficient with

Name of Former Employer A

Name of Former Employer B

Start Date Employer A

Start Date Employer B

End Date Employer A

End Date Employer B

Title or Duties of Employer A

Title or Duties of Employer B

Rate of Pay at Employer A

Rate of Pay at Employer B

Reason for Leaving Employer A

Reason for Leaving Employer B

Name of Former Employer C

Name of Former Employer D

Start Date Employer C

Start Date Employer D

End Date Employer C

End Date Employer D

Title or Duties of Employer C

Title or Duties of Employer D

Rate of Pay at Employer C

Rate of Pay at Employer D

Reason for Leaving Employer C

Reason for Leaving Employer D

May We Contact Your Current Employer?

Yes

Explain

Please provide 3 References not related to you, whom you have known for at least one year.

Type of Driver's License You Hold

Regular

CDL

Issuing State

Has your Driver's License Been Revoked or Suspended in the last 3 years?

Yes

Expiration Date

If Yes, Explain

How many years have you been driving?

Less than 1 Year

2-3 Years

Over 3 Years

Any Restrictions on your License?

Yes

If Yes, Explain

Did you have any moving traffic violations or accidents in the last 3 years?

Yes

If Yes, please detail Month, Year, Description of Violation (Not Parking) and/or Accidents

What days can you work?

Any objection to travel, if required by job?

Objection to overtime?

If hired, could you give written evidence of a right to work in the country?

If you are a member of any union, name them.

Can you perform all of the duties listed in the job description?

In Case of Emergency Notify: (Name, Address, Telephone)

Terms and Conditions

I have read and understand the following: I authorize investigation of all statements contained in this application I understand that misrepresentation or omission of facts called for is cause for dismissal, further I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without previous notice. Any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of or if employed termination from employment. It is by understanding that the company will make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment related papers or oral interviews . I authorize such investigation and the giving and receiving of any information requested by the company and I release from liability any person giving or receiving any such information . I understand that falsification of data so given or other derogatory information discovered as a result of this investigation may prevent my being hired or if hired may subject me to immediate dismissal. I agree that my employment may be terminated by this company at any time without liability for wages or salary except such as may have been earned at the date of such termination. I understand and agree that I may be required to take a physical examination at company expense at any time to determine if I am physically fit for the job I am to perform and I authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the duties of a job I am being considered for prior to employment or in the future during my employment with the company. I further understand that this is an application for employment and that no employment contract is being offered. Notice to applicants & employees: Screening tests for alcohol and illegal drug use may be required before and during your employment here. It is understood that employment with this company is temporary. Employment is for the duration of a project, until weather no longer permits construction or lack of work results in termination.

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