Employment

Present Address*

Employment Information

EMPLOYMENT HISTORY

Start with your most recent employer. Please include company name, phone number, address, how long you worked there, supervisors name, responsibilities, salary, and reason for leaving.

REFERENCE:

Include ONLY individuals familiar with your WORK ABILITY. Do not include relatives. Include name, phone number, relationship, and years known.

If yes, please explain fully. (A criminal conviction will not necessarily be a bar to employment. Any relevant factors such as age at time of offense, seriousness and nature of the violation, and rehabilitation will be taken into account.)

AUTHORIZATION:

I certify that the facts contained in this application and accompanying resume, if any, are true and completed to the best of my knowledge. I understand that omission, or misrepresentation on this application is sufficient cause for dismissal. I understand that any employment is conditional on a background check. I authorize JCS, INC. to investigate all statements contained in this application, and I authorize my former employers and references to disclose information regarding my work performance, and character. I agree and understand that JCS, Inc. performs random, and for just cause, drug tests, to be left up to management discretion, and refusal to comply may result in termination. I understand and agree that if I am hired, my employment may be terminated with three oral warnings within a six month period. Certain severe infringements of JCS, Inc. work rules, policies, or procedures may result in immediate termination, to be left up to management discretion.

All fields marked with an asterisk * are required