Highway Flagger at Jrkflaggers

First Name *

Last Name

Email *

Phone *

How did you hear about this position?

Address *

Current Salary

What county in Pennsylvania do you reside? *

Date of application? *

Position applied for? *

Drivers license state? *

Are you over the age of 18? *

Were you previously employed by JRK Enterprises? *

If yes, give dates.

Date available for work? *

Desired salary?

Type of employment desired? *

Are you able to meet the attendance requirements of the postion? *

Have you ever been convicted of a crime, except a minor traffic violation? *

If yes, provide dates and details

Have you ever been discharged from a position or requested to resign from a position? *

If yes, please give circumstances.

Employment History-Starting with your most recent employer first. Provide company name, address and phone number. *

From and to, provide dates. *

Job title and summary of work performed? *

Immediate Supervisor? *

Hourly rate or Salary?

May we contact for reference? *

Are you still currently employed by this company? *

Reason for leaving or wanting to leave? *

Employer #2- provide company name, address and phone number?

Dates employed: to and from.

Job title?

May we contact for a reference?

Reason for leaving?

Employer #3- provide company name, address and phone number?

Date employed: to and from.

Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying

Have you ever served in the U. S. Armed Forces? *

If Yes, branch?

Date Entered?

Date discharged?

High School? *

Number of years completed? *

Did you graduate? *

College?

Did you finish and graduate?

Other education?

List all references. Include; name, relationship, phone and number of years known.

Did you or will you be filling out our Affirmative Action Voluntary Information Form? (You can do so by going back to our website www.jrkflaggers.com and going back into our job application link. You can then follow the information on #2 to email this information in. Remember, this information is voluntary.) *

Are you subject to recall from a current lay off? *

Jrkflaggers

See all the jobs at Jrkflaggers here: http://jrkflaggers.recruiterbox.com/jobs

Application Form