Jones-McLeod, Inc.

Foodservice Equipment Parts and Service
Return Fax To: 205-322-1440
P.O. Box 1688  Birmingham, AL 35201-1688

STANDARD EMPLOYMENT APPLICATION

Name _________________________________________________________ Date_____________
                            (Please print)       Last       First       Middle

Please fill in the application yourself, in ink giving complete answers to questions that apply to you. This will enable you to derive the greatest benefit from the interview to follow.
Because of our sincere interest in your qualifications, it is desirable to have your complete background and work history. A clear understanding of your interests, background, ambitions and abilities will aid us in placing you in the position that best meets your qualifications. We appreciate your interest in our company and will be happy to explore with you the possibilities of joining us.

Position applying for ___________________  SS#___________________________

Phone_________________________ Drivers Incense #_______________________

Present address____________________________________________ How Long?___

Previous address _________________________________________ How Long? ____

Previous address _________________________________________ How Long? ____

Do you own a home? ___ Rent home? ___ Rent apartment? ___

Do you own a car? ___ Make and year ______________ 

Do you have any relatives working for this company? ______ Who? _______________

How were you referred you to us? __________________________________________

Any physical limitations? _____________ Please explain ____________________

______________________________________________________________________

Personal: The Civil Rights Act of 1964 and P.L. 90-202 prohibit unfair discrimination in employment on the basis of race, color, religion, sex, national orgin and age. Certain state laws prohibit pre-employment inquiries which are not job related and which may be used as the basis for unfair discrimination. You may omit any item on this application form where you question its purpose. If omitted information is necessary for the job applied for, you will be asked to complete those items during your personal interview.

Sex ______ Age ____ Date of Birth________ Height ____________ Weight___________

Marital status:  M / S / D     Wife/Husband's name ______________________ Age _______

Number of children ________ ages __________________ are you a U.S. citizen? ______

Have you ever been bonded? _____    If yes, on what jobs? _________________

Have you been convicted of any crime, excluding misdemeanors? _____

If yes, describe in full:  ______________________________________________________

RECORD OF PREVIOUS EMPLOYMENT

PRESENT EMPLOYER:
(or most recent) __________________________________Kind of business____________

Address __________________________Phone_______________Supervisor____________

Starting date ___________Ending date____________________ Starting earnings ________

Responsibilities_______________________________________Ending earnings__________

What did you like best about your job?____________________________________________

What did you like least about your job? ___________________________________________

Reason for leaving ___________________________________________________________

May we contact your previous employer without jeopardizing your position? _____Yes____No


PREVIOUS EMPLOYER:
(or most recent) __________________________________Kind of business____________

Address __________________________Phone_______________Supervisor____________

Starting date ___________Ending date____________________ Starting earnings ________

Responsibilities_______________________________________Ending earnings__________

What did you like best about your job?____________________________________________

What did you like least about your job? ___________________________________________

Reason for leaving ___________________________________________________________

May we contact your previous employer without jeopardizing your position? _____Yes____No


PREVIOUS EMPLOYER:
(or most recent) __________________________________Kind of business____________

Address __________________________Phone_______________Supervisor____________

Starting date ___________Ending date____________________ Starting earnings ________

Responsibilities_______________________________________Ending earnings__________

What did you like best about your job?____________________________________________

What did you like least about your job? ___________________________________________

Reason for leaving ___________________________________________________________

May we contact your previous employer without jeopardizing your position? _____Yes____No

IF MORE THAN 3 PREVIOUS EMPLOYERS, LIST OTHERS HERE:

Employer:__________________________________________Dates: From:______ To:_____

Employer:__________________________________________Dates: From:______ To:_____

Employer:__________________________________________Dates: From:______ To:_____

What special skills and qualifications do you have? ___________________________________

____________________________________________________________________________

 
EDUCATIONAL RECORD:

Grammar School: ______________________________________________________________

High School: _________________________________________Did you graduate?__________

College or University: __________________________Major: _____________Degree?________

Outline pertinent experience and attainments achieved through your education (such as subjects of concentration, interests, activities, and honors received):

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

REFERENCES:

Name __________________________Address ______________________Phone_____________

Name __________________________Address ______________________Phone_____________

Name __________________________Address ______________________Phone_____________

Thank you for completing this application form and for your interest in employment with us. We would like to assure you that your opportunity for employment with this company will be based on your merit and on no other consideration.

Occasionally those applying for employment wish to state additional information. If so, please write your comment below.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

PLEASE READ CAREFULLY APPLICANT'S CERTIFICATION AND AGREEMENT

I hereby certify that the answers given and statements made are true and correct. I hereby authorize all my previous employers, or references, to furnish any information concerning my personal character, habits or employment records.




Witness (Company Interviewer)___________________________________________

Applicant's Signature____________________________________________________