Division of J&R Specialties you are interested in working for:
J&R Specialties - Specialties
J&R Specialties - Doors / Frames / Hardware
Industrial Door Solutions - Overhead Doors
Warehouse / Delivery Driver
Holland Engraving - Signage
Name
*
First Name
Last Name
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you lived there
Email
*
Desired Salary/ Hourly Rate
*
Type of Employment desired:
Are you willing to work overtime?
High School:
*
Did you graduate?
YES
NO
Year Graduated:
Number of years completed:
College:
Did you graduate?
YES
NO
Year Graduated:
Number of years completed:
Business/ Tech/ Trade or post college education:
List any applicable programs and dates attended as well as the certificate you received.
Dates of Employment
*
Address
PHONE NUMBER:
(###)
###
####
Type of Business
Supervisors Name
Job Title
Duties
MAY WE CONTACT ?
If no, why not?
Wages Start
Wages Final
Reason for leaving
What will this employer say was the reason your employment was terminated?
How much notice did you give when resigning?
Have you ever been terminated or asked to resign from any jobs?
YES
NO
If yes, how many times?
Has your employment ever been terminated by mutual agreement?
YES
NO
If yes, how many times?
Have you ever been given the choice to resign rather than be terminated?
YES
NO
If yes how many times?
If you answered "Yes" to any of the above 3 questions, please explain the circumstances of each occasion
I certify that all of the information that I have gathered on this application is true, accurate and complete.
Date
Work Experience
Dates of Employment
*
Address
Phone
(###)
###
####
Type of Business
Supervisors Name
Job Title
Duties
May We Contact?
If no, why not?
Wages Start
Wages Final
Reason for leaving
What will this employer say was the reason your employment was terminated?
How much notice did you give when resigning?
Have you ever been terminated or asked to resign from any jobs?
YES
NO
If yes, how many times?
Has your employment ever been terminated by mutual agreement?
YES
NO
If yes, how many times?
Have you ever been given the choice to resign rather than be terminated?
YES
NO
If yes how many times?
I certify that all of the information that I have gathered on this applicationis true, accurate and complete.
If you answered "Yes" to any of the above 3 questions, please explain the circumstances of each occasion.
Date
