JR MANUFACTURING - Application for Employment

General Information

First Name *

Last Name *

Address *

City *

ZIP *

State *

Home Telephone

Were you employed previously by us? * YesNo

When did you last work for us?

Position Desired

Position Applying For *

Date Available *

Minimum Wage Desired *

per HourYear

Type * Full-timePart-TimeTemporary

Hours you cannot work

Skill

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References

List persons who know your work professionally, excluding supervisors

	Name	Title	Telephone	Email	Years Known
					(Rounded to the nearest year)	Add a reference

Education

	Name	Location	Diploma Received?
High School			YesNo

	Name	Location	Major	Degree Received
College/University					Add a degree

	Name	Location	Training Received
Other Education				Add a degree

Please list most recent employer first

Employer


	Company Name Company Address From (Month/Year) To (Month/Year) Your Position Starting Salary Ending Salary Your Duties Reason for Leaving	Supervisor's Name Supervisor's Position Company Phone DO NOT contact this employer

Resume

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