Employment Application Form

Required Fields marked with *

Last name*

First name*

M.I

Date

Home Or Cell Phone*Home PhoneCell Phone

Phone Number*

Email

Address*

Apartment/Unit #

City*

State*

Zip Code*

Date Available to start*

Required Salary

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Position applied for

Are you employed now?

If so may we contact your current employer?

Are you applying for?*

Regular Full TimeRegular Part Time

Do you have any friends or relatives working for JP Lamborn Co?*

YesNo

If Yes, state name and relationship?

Are you availabe to work?*

Day ShiftSwing Shift

Would you be available to work overtime Monday - Friday?*

YesNo

If only certain days of the week, Which days?

Are you available to work overtime on Saturdays and Sundays?*

YesNo

If Yes, Which day Saturday or Sunday, or Both?

Were you referred to JPL, If so by Whom?

Have you worked for JPL prior?

YesNo

If Yes, When?

If Yes, Reason for leaving?

Do you have reliable means of transportation to and from work?*

YesNo

Are you at least 18 years of age?*

YesNo

Do you have other experience, training, qualifications or skills which you feel make you especially suited to work for JPL?

Do you speak, read, write or understand any foreign language(s)?

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Education

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High School

City

Did you graduate?

YesNo

College

City

Did you graduate?

YesNo

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Military Services

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Have you, or do you currently serve in the US Military?

YesNo

If Yes, What Branch?

If no longer serving, What was your Rank at upon Discharge?

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Previous Employement

Company

Phone Number

Company Address

City

State

Zip Code

May we contact your previous supervisor for a work reference?

YesNo

Supervisor Name

Job Title

Responsibilities

From

To

Reason for leaving?

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Previous Employment 2

Company

Phone Number

Company Address

City

State

Zip Code

May we contact your previous supervisor for a work reference?

YesNo

Supervisor Name

Job Title

Responsibilities

From

To

Reason for leaving?

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Previous Employment 3

Company

Phone Number

Company Address

City

State

Zip Code

May we contact your previous supervisor for a work reference?

YesNo

Supervisor Name

Job Title

Responsibilities

From

To

Reason for leaving?

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JPL Application Acceptance AgreementBy Clicking submit you are acknowledging that you have reviewed all J.P. Lamborn Co. benefits and have completed the employment application to the best of your ability.

Submit