Employment Opportunity


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US JESCO INTERNATIONAL LTD., INC
APPLICATION FOR EMPLOYMENT

* - indicates required fields
*Market Applying For
Personal Information
*First Name
Middle Initial
*Last Name
Email
*Address
*City
*State/Province
*Zip/Postal Code
*Country
*Home Phone Number	( ) -
Work Phone Number	( ) -

Education
*High School Attended and Location
*Did you graduate?	Yes No
Year Graduated
College Attended and Location
Did you graduate?	Yes No
Trade, Business, or Correspondence School Attended and Location Degree
Did you graduate?	Yes No

Employment History (List Present or Most Recent Positions First)
*1. Company
Phone Number	( ) -
*City & State
Type of Business
*Your Position
*Immediate Supervisor
Briefly describe your duties and responsibilities
Length of Employment
Starting Salary
Final Salary
*Reason for Leaving

2. Company
Phone Number	( ) -
City & State
Type of Business
Your Position
Immediate Supervisor
Briefly describe your duties and responsibilities
Length of Employment
Starting Salary
Final Salary
Reason for Leaving

General Information
Experience/ Skills Related to the Position for Which You Are Applying
*Have You Ever Been Convicted of a Felony?	Yes No
If So, Please Explain
*Do you mind Traveling?	Yes No
*Do You Have Transportation?	Yes No
*Do you have a valid Driver’s License?	Yes No
Date you can start?
Comments

PLEASE READ THIS CARFULLY BEFORE SUBMITTING. By signing this application, you authorize U.S. Jesco International Ltd., Inc. to verify any information given by the applicant and to check references. Also any incorrect information or omission of information on the form can result in refusal to hire, or if the individual is hired, immediate termination. U.S. Jesco is an equal opportunity employer.