Application for Employment

JR Machine, Inc. is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.

Personal Information
Employment Desired
Education
Employment History
References

Name (last, first, middle initial)

Other Names You Are Known By

Phone

Current Address

Street Address

City

Zip Code

Perminent Address (if different from above)

Street Address (permanent)

City (permanent)

Zip Code (permanent)

Are you legally eligible for employment in the U.S.?

All new hires will be required to provide proof of eligibility to work in the US.

YesNo

Have you ever been convicted of a felony?

If yes, please explain

YesNo

Convicted of a Felony Explanation

Application for Employment

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