Online Employment Application

Employment Application

We deeply appreciate your interest in our organization and assure you that we are sincerely interested in your qualiﬁcations. A clear understanding of your background will aid us in placing you in the position that best meets your qualiﬁcations and may assist us in possible future upgrading
Position(s) applied*
- Field Service Testing Technician
Rate of pay per hour expected
Interested in working
Specify days and hours if part-time
On what date will you be available for work?
Date Format: MM slash DD slash YYYY
PERSONAL INFORMATION
Name*
First Middle Last
Present Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email
EDUCATION, TRAINING, AND AFFILIATIONS
What is the highest level of education you have completed?
Do you speak any language(s) besides English?
If yes, which one(s)?
Do you have any additional training, degree(s), or certification(s)?
If yes, please describe
Do you belong to any groups, clubs, or associations related to this job or this field?
If yes, please list
ELIGIBILITY
Are you of legal age?
Are you legally eligible for employment in the United States?
Were you previously employed by us?
If yes, when?
Would you be willing to take a company physical if offered the job?
Would you be willing to take a drug test if offered the job?
Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, in the past seven years which has not been annulled or expunged or sealed by a court?
If yes, describe in full
WORK HISTORY
List below all present and past employment, beginning with your most recent employer. You may also attach a resume at the end of this form.
Company Name 1:
Your current or most recent position
Company Address 1
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone 1
May we contact this employer?
Job Title
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Describe the work you did:
Reason for leaving
Would you like to add a second employer?
Company Name 2
Company Address 2
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone 2
May we contact this employer?
Job Title
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Describe the work you did:
Reason for leaving
Would you like to add a third employer?
Company Name 3
Company Address 3
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone 3
May we contact this employer?
Job Title
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Describe the work you did:
Reason for leaving
The Civil Right Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal laws also prohibit discrimination on the basis of age with respect to certain individuals. The laws of most states also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status or physical or mental handicap or disability.
How did you hear about this position?*
If other, how did you hear about this position?*
Other Qualifications
Please give us a background of your present job skills and personal qualifications that you feel would be of benefit to Jordan Transformer LLC. This may come from such things as work experience, extra curricular activities, volunteer experiences, hobbies, etc. We would like this in your own words. Thank you.
PLEASE READ AND PRINT YOUR NAME BELOW
The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice.
PLEASE PRINT YOUR FULL NAME
This serves as your digital signature
Today's Date
Attach Resume
Accepted file types: doc, docx, jpg, png, pdf.