IJSC Employment Application

Employment Opportunities at IJSC

Available jobs:

Coming soon!

Please fill out the job application form below, upload your resume and click submit form.

Full Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Social Security Number

no spaces or dashes

E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Education Information

High School

Name, City, State

College

Name, City, State

Business, Trade, Apprentice, Correspondence or Military

Name, City, State

Are you pursuing a course of study now?

Yes No

If yes, enter subject and name and location of institution.

Additional Information

What position would you like to have with this company?

What other job would you consider?

Salary Expected

What date can you start?

Willing to work overtime?

Willing to work shifts?

If you are seeking temporary work/how long?

If part time/what hours?

Why are you seeking employment with this company?

Are you a U.S. citizen?

Yes No

If no, do you intend to become a citizen?

Present draft classification

Reserve status

Veteran?

Yes No

Date of Discharge

Specialty

Have you ever been bonded?

Yes No

Give names of relatives working for this company.

Give names of friends working for this company.

Referred to this company by:

Agency Advertising Employee Other

List, if you choose, any position of leadership or responsibility you have held in school or civic work.

List hobbies and any other skills you have.

References

Please list two persons who have known your for more than 5 years.
Exclude former employers or relatives.

Reference 1 - Full Name

Last, First, Middle

Reference 1 - Phone

Area Code Phone Number

Reference 1 - Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Reference 2 - Full Name

Last, First, Middle

Reference 2 - Phone

Area Code Phone Number

Reference 2 - Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Employment History

List all employment for past 10 years, including military and self-employment. (Account for all periods of unemployment.)

Employer (Present or most recent)

Employer Address

Street, City, State, Zip

Base Wage/Salary

$ amount per month or hour

From

month/year

To

month/year

Job Title

Supervisor's Name

Reason for leaving

Describe major job duties:

If presently employed may we contact your employer for references?

Yes No

May we contact you at your place of employment?

Yes No

Work phone number.

Area Code, Phone, Ext.

Employer (2)

Employer Address (2)

Street, City, State, Zip

Base Wage/Salary (2)

$ amount per month or hour

From (2)

month/year

To (2)

month/year

Job Title (2)

Supervisor's Name (2)

Reason for leaving (2)

(2) Describe major job duties:

Employer (3)

Employer Address (3)

Street, City, State, Zip

Base Wage/Salary (3)

$ amount per month or hour

From (3)

month/year

To (3)

month/year

Job Title (3)

Supervisor's Name (3)

Reason for leaving (3)

(3) Describe major job duties:

Employer (4)

Employer Address (4)

Street, City, State, Zip

Base Wage/Salary (4)

$ amount per month or hour

From (4)

month/year

To (4)

month/year

Job Title (4)

Supervisor's Name (4)

Reason for leaving (4)

(4) Describe major job duties:

Employer (5)

Employer Address (5)

Street, City, State, Zip

Base Wage/Salary (5)

$ amount per month or hour

From (5)

month/year

To (5)

month/year

Job Title (5)

Supervisor's Name (5)

Reason for leaving (5)

(5) Describe major job duties:

Have you ever held a Security Clearance? *

Yes No

If yes, give name of employer, level, and inclusive dates.

Have you had a Security Clearance suspended, denied or revoked? *

Yes No

If you have had a Security Clearance suspended, denied or revoked, please explain in detail.

Do you have any physical limitations? *

Yes No

If you do have physical limitations - please explain:

Have you ever been found guilty of any crime? (*see note below) Type YES or NO *

*You may omit (1)Traffic violations for which you paid a fine of $50 or less, and (2) any offense committed before your 21st birthday which was finally adjudicated in a Juvenile Court or under a Youth Offender Law. Include convictions by General Court-Martial while in Military Service.

If you have been found guilty of a crime, give the date, charge, place and court.

Emergency Notification

List name of person to be notified in case of an emergency.

Emergency Contact

First Name Last Name

Emergency Contact Phone Number

Area Code Phone Number

Emergency Contact Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Relationship

I hereby certify that the answers given by me to the foregoing questions and statements are true and correct, without mental reservation of any kind whatsoever and hereby authorize IJSC to verify same. If employment is obtained under this application, I will comply with all orders, rules and regulations of the company. I agree to submit to physical examination. I also authorize my former employers and educational institutions to give any information they may have regarding me. I hereby release them and their organizations from all liability for any damage whatsoever for issuing same. If upon investigation, anything contained in this application is found to be untrue, I understand I will be subject to dismissal at any time during the period of my employment.

By submitting this form, I am, by all rights, giving my signature to this information, as though it were an actual application for employment.

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