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Jade Millwrights, Inc.

(785) 544-7771
jadeco@rainbowtel.net

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Jade Millwrights, Inc.

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(785) 544-7771
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Job Application

Thank you for considering becoming a member of the Jade team! We strive to make your employment with Jade as gratifying as possible while fostering a family-oriented culture.

Personal Information
First Name*
Middle Initial*
Last Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email
Position Applying For*
Alternate Position Applying For*
Are You At Least 18 Years Or Older?*
- Yes
- No
Are You Eligible For Employment in the U.S.?*
- Yes
- No
Do You Have a Valid Driver's License?*
- Yes
- No
You Are Willing To Work*
- Overtime when necessary
- Summers
- Seasonal
Reason for Applying at Jade*
If Employed, When Could You Report for Work?*
Names of Relatives or Friends Employed by Jade
Did a Current Jade Employee Refer You?*
- Yes
- No
Have You Ever Worked For Jade?*
Have You Ever Been Convicted of a Felony?*
- Yes
- No
If yes, please explain
(Conviction will not necessarily disqualify an applicant from employment.)
How Did You Hear About This Position?*
- Company Website
- Facebook
- LinkedIn
- Employee of Jade
- Friend/Family Member
Education and Training
Please Summarize Your Job Related Skills*
(i.e. Certifications, Operation of Equipment, Experience Leading a Team, Experience Reading Blueprints, etc.)
References
Reference #1
First Name*
Last Name*
Address*
City State / Province / Region
Phone
Reference #1 Phone
Occupation*
Years Known*
Reference #2
First Name
Last Name
Address
City State / Province / Region
Phone
Reference #2 Phone
Occupation
Years Known
Reference #3
First Name
Last Name
Address
City State / Province / Region
Phone
Reference #3 Phone
Occupation
Years Known
Work History
You may add up to three previous positions. Current to last position held.
Company #1*
Date Employed From*
MM slash DD slash YYYY
Date Employed To*
MM slash DD slash YYYY
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Your Title/Position*
Your Job Duties*
Your Rate of Pay*
Your Reason For Leaving*
Your Supervisor*
Please Check if We May Contact*
- Yes
Company #2
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code
Your Title/Position
Your Job Duties
Your Rate of Pay
Your Reason For Leaving
Your Supervisor
Please Check if We May Contact
- Yes
Company #3
Date Employed From
MM slash DD slash YYYY
Date Employed To
MM slash DD slash YYYY
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code
Your Title/Position
Your Job Duties
Your Rate of Pay
Your Reason For Leaving
Your Supervisor
Please Check if We May Contact
- Yes
Please Read and Initial in the box at the bottom of the screen - in exchange for consideration of my employment by Jade Millwrights, Inc. 1. I certify that all answers contained in this application are true and correct to the best of my knowledge, and I understand that any false statements or willful omissions may be cause for rejection of my application or, if employed, amount to sufficient grounds for dismissal without further notice. 2. I agree that all former employers, schools, and/or references may furnish Jade with all information regarding record of my service, education, character, and reason for leaving. I release all former employers, schools, and references from all liability for providing such information. 3. I understand and agree that I may be required to maintain a valid driver's license. Further, I grant Jade the right to investigate my motor vehicle driving record at any time. 4. I agree to submit to a physical examination and/or drug and alcohol screen, either following a conditional job offer, or thereafter, as requested by Jade, and understand my initial and continued employment is contingent upon my meeting such medical standards as the company may then have in effect. 5. I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF JADE MILLWRIGHTS, INC., AND IF EMPLOYED, MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT THE OPTION OF EITHER THE COMPANY OR MYSELF. I UNDERSTAND THAT NO MANAGER OR REPRESENTATIVE OF JADE, OTHER THAN JADE OWNERS, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING. **Additional assessment testing may be required.
Initials*

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