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*
- Controls Technician
- Design Engineer (Mechanical)
- Drafting Position
- Transformer Design Engineer
- Painter
Rate of pay per hour expected
Interested in working
Specify days and hours if part-time
Were you previously employed by us?
If yes, when?
On what date will you be available for work?
Personal
Name*
First Middle Last
Present Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Are you legally eligible for employment in the USA?
Are you of legal age?
List below all present and past employment, beginning with your most recent employer.
Company Name:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Describe the work you did:
Reason for leaving
Pay Rate
Employed From - To
Would You Like To Add Another Employer?
Company Name:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Describe the work you did:
Reason for leaving
Pay Rate
Employed From - To
May we contact the employers above?
If not, indicate which one(s)
MILITARY SERVICE RECORD
Were you in the US. Armed Forces?
If yes, what branch?
Dates of duty:
Rank at discharge
EDUCATION
What level of education have you had?
Select last year of Elem/Jr. High completed
Select last year High School completed
Select how many years of college completed
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.
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
Do you know of any reason why you might not be able to come to work on time everyday?
If yes, please state reason
Do you speak a foreign language?
If yes, which one(s)
Do you belong to any groups or clubs related to this job or field?
lf yes, please list
Would you be willing to take a company physical if offered the job?
Would you be willing to take a drug test?
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
Please give us a background of your present job skills and personal qualifications that you feel would be of benefit to Jordan Transformer. We would like this in your own words. Thank you.

Online Employment Application

Employment Application

Personal

MILITARY SERVICE RECORD

EDUCATION

PLEASE READ AND PRINT YOUR NAME BELOW

JORDAN TRANSFORMER, LLC

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