Application - J.S. McCarthy Printers

Personal Information

Date

Phone(Required)

Email(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you authorized to work in the USA?(Required)

Yes

If hired, you are required to submit proof of your eligibility to work in the USA. Do you have a valid driver’s license and reliable transportation to and from work?(Required)

Yes

Were you previously employed by us?(Required)

Yes

If yes, when?

Position applied for:

What is your preferred shift?(Required)

Day

Night

Weekend

If you chose day shift, are you available for night and weekend work?

Yes

If your application is considered favorably, on what date will you be available for work?(Required)

Do you know anyone who currently works at JSM?(Required)

Yes

Name of JSM employee you know

Are there any other job related experiences, skills, or qualifications which will be of special benefit in the job for which you are applying?

Employment History

List below present and past employment, beginning with your most recent.

Company Name(Required)

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date (month & year)(Required)

End Date (month & year)(Required)

Starting Salary(Required)

Last Salary(Required)

Reason for Leaving(Required)

Describe the type of business and work you did:(Required)

Name of Supervisor(Required)

Phone(Required)

May we contact them?(Required)

Yes

Company Name

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date (month & year)

End Date (month & year)

Starting Salary

Last Salary

Reason for Leaving

Describe the type of business and work you did:

Name of Supervisor

Phone

May we contact them?

Yes

Company Name

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date (month & year)

End Date (month & year)

Starting Salary

Last Salary

Reason for Leaving

Describe the type of business and work you did:

Name of Supervisor

Phone

May we contact them?

Yes

Company Name

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date (month & year)

End Date (month & year)

Starting Salary

Last Salary

Reason for Leaving

Describe the type of business and work you did:

Name of Supervisor

Phone

May we contact them?

Yes

Record of Education / Training / Apprenticeships

Name of High School

Course of Study

Address of High School

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Select Last Year Completed

Did You Graduate

Yes

List Diploma / Degree / Certificate

Name of College

Course of Study

Address of College

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Select Last Year Completed

Did You Graduate

Yes

List Diploma / Degree / Certificate

Apprenticeships or Licenses

Other (Specify)

Personal References

(Not Former Employers or Relatives)

Name(Required)

First Last

Occupation(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name(Required)

First Last

Occupation(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name(Required)

First Last

Occupation(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How do you prefer to be contacted to follow up on this application?(Required)

Phone

If you chose phone, what is the best time to call?

Please Read and Authorize Below

J.S. McCarthy Printers requires a background check on certain employees with access to certain classified data or secure technology resources. By checking below, you indicate your acknowledgment that a background check may be required as a condition of employment. If so, we will provide further information to you regarding the check. If you gave us permission to contact your present or past employers on page 2, you understand that we may contact them concerning your prior work experience. By signing below, you confirm that the facts provided in this Application for Employment are true and complete. You understand that, if employed, any false statement on this application may result in your dismissal. You further understand that this application is not intended to be a contract of employment, nor does it obligate J.S. McCarthy Printers in any way, if it decides to employ you. You understand and agree that any employment offered to you will be at-will and can be terminated by either party with or without notice, at any time, for any reason or no reason. No one other than an officer of the company has any authority to enter into any agreement for employment or to make any agreement contrary to the foregoing, and then only in writing signed by an officer.

Today's Date(Required)

I acknowledge, confirm and understand the above statement.(Required)

Yes