APPLICATION FOR EMPLOYMENT

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

First Name
Middle Name
Last Name
Street Address
City
State
Zip
Cellphone
Email
Date of Birth
Position applied for
How did you hear about Sand Jamm?
When can you start?
Desired Wage $
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.)
Yes No
Are you looking for full-time employment?
Yes No
If no, what hours are you available?
Are you willing to work swing shift?
Yes No
Are you willing to work graveyard?
Yes No
Have you ever been convicted of a felony? (This will not necessarily affect your application.)
Yes No
If yes, please describe conditions.
EDUCATION
School Name and Location
High School
Year Graduated
Major
Degree
College
Year Graduated
Major
Degree
College
Year Graduated
Major
Degree
 
Post College
Year Graduated
Major
Degree
Other Training
Year Graduated
Major
Degree
In addition to your work history, are there other skills, qualifications, or experience that we should consider?
EMPLOYMENT HISTORY (Start with most recent employer)
Company Name
Date Started
Starting Wage
Starting Position
May we contact?
Yes No
Responsibilities
COMPANY 2
 
Company Name
Date Started
Starting Wage
Starting Position
May we contact?
Yes No
Responsibilities
COMPANY 3 
 
Company Name
Date Started
Starting Wage
Starting Position
May we contact?
Yes No
Responsibilities
COMPANY 4 
 
Company Name
Date Started
Starting Wage
Starting Position
May we contact?
Yes No
Responsibilities
Telephone
Date Ended
Ending Wage
Ending Position
Name of Supervisor
Reason for leaving
 
 
Telephone
Date Ended
Ending Wage
Ending Position
Name of Supervisor
Reason for leaving
 
 
Telephone
Date Ended
Ending Wage
Ending Position
Name of Supervisor
Reason for leaving
 
 
Telephone
Date Ended
Ending Wage
Ending Position
Name of Supervisor
Reason for leaving
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history. I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the president, has any authority to alter the foregoing.

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