Employee Application


Jenne, Inc. is an equal employment opportunity employer. It is the policy of Jenne, Inc. to afford equal employment opportunity to all individuals regardless of race, color, religion, sex, national origin, age, sexual orientation, disability, or veteran status, or any other legally protected status.


Last Name
*
First Name
*
M.I.
*
Street Address
*
Apt/Unit #
City
*
State
*
Zip
*
Phone
*
E-mail
*  
Applying For:
*
Date Available
*
Desired Salary $
*
How did you hear about us?
Other Source


Prior to employment, we conduct a thorough background check, drug screen, and other, if applicable, medical examination. Are you willing to submit to this process?
Social Security Number
*
Driver License #
If you have not lived at your address for more than seven years, please provide a previous address.
Previous Address
Apartment/Unit #
City
State
Zip
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Are you at least 18 years old or in possession of a work permit?
Were you ever employed with us?
If YES when?
Have you ever been convicted of a crime other than a minor traffic violation?
If yes, list date
Explanation

Highest Education Level
High School
*
Degree
From
To
Did you graduate?
Address
*
College
*
Degree
From
*
To
*
Did you graduate?
Address
*
Other
Degree
From
To
Did you graduate?
Address
Certificates/Licenses
Certificate Name
Issuing Body
Year
Add New Certification

Please list three professional references

Full Name
*
Relationship
*
Company
*
Phone
*
Address
*

Full Name
*
Relationship
*
Company
*
Phone
*
Address
*

Full Name
*
Relationship
*
Company
*
Phone
*
Address
*

Most recent
Company
*
Phone
*
Supervisor
*
May we contact your previous supervisor for a reference?
Address
*
City
*
State
*
Zip
*
Job Title
*
From
*
To
*
Starting Salary $
*
Current/Ending Salary $
*
Bonus/Other Compensation
Reason for leaving
Responsibilities
*

Company
Phone
Supervisor
May we contact your previous supervisor for a reference?
Address
City
State
Zip
Job Title
From
To
Starting Salary $
Ending Salary $
Bonus/Other Compensation
Reason for leaving
Responsibilities

Company
Phone
Supervisor
May we contact your previous supervisor for a reference?
Address
City
State
Zip
Job Title
From
To
Starting Salary $
Ending Salary $
Bonus/Other Compensation
Reason for leaving
Responsibilities

Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain

Name
Relationship
Contact Number


I understand that any misstatement, omission or misleading information given my application or interview or in connection with other Company records may result in the rejection of my application, the withdrawal of any offer of employment or my dismissal from employment.

I authorize an investigation of all statements contained in this application from employment. I release from all liability and responsibility all persons and entities requesting or supplying information about any information provided on this application, including my present employer.

I understand JENNE is a drug-free workplace. Management of JENNE reserves the right to drug test any applicants and/or employees of JENNE at anytime.

I understand that if employed by JENNE, I will be an employee-at-will, which means that I can voluntarily end employment or be terminated at any time for any reason at all.

Signature
*
Date
*



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