Justice Jewelers Online Employment Application

Please fill in all fields
First Middle & Last Name * Email address *
Todays date Social Security Number *
  Present Address:
Street * City *
State * Zip Code *
  Permanent Address:      
Street * City *
State * Zip Code *
Phone number * *Are you 18 years or older? Yes
No
*Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
Yes   No
Desired position * Date you can start *
Salary desired * *Are you employed now Yes
No
If so may we inquire of your present employer? Yes
No		 Have you ever appled to this company before? Yes
No
Where did you apply? * When did you apply? *
Grammer School: Name and location of school,
Number of years attended, Did you graduate?, Subjects studied.
High School: Name and location of school, Number of years attended, Did you graduate?, Subjects studied.

College: Name and location of school, Number of years attended, Did you graduate?, Subjects studied.

 Trade Business or Correspondence School: Name and location of school, Number of years attended, Did you graduate?, Subjects studied.
Please list any subjects of special study or research work.
 Please list any special skills you have.
Activities: Civic, Athletic, Etc...
US Military or Naval service Yes
No		 Rank
Present membership in national guard or reserves.
Yes
No
Previous Employment History:

  
Former Employer 1 Start End Month and Year Name and address of employer salary position reason for leaving Former Employer 2 Start End Month and Year Name and address of employer salary position reason for leaving
Former Employer 3 Start End Month and Year Name and address of employer salary position reason for leaving Former Employer 4 Start End Month and Year Name and address of employer salary position reason for leaving
Which of these jobs did you like the best
What did you like the most about this job

 Reference 1 Name Address Phone Number Business Years Aquainted
Reference 2 Name Address Phone Number Business Years Aquainted Reference 3 Name Address Phone Number Business Years Aquainted
It is unlawful in the state of Missouri to require or administer a lie detector test as a condition of employmnet or continued employment An employer who violates this law shall be subject to criminal penalties and civil liability.
I Understand
I Do Not Understand
Emergency Contact: Name, Address, Phone Number.
*
*Do you certify that all the information submitted on this application is true and complete and do you understand that if any false information omissions or misrepresentations are discovered your application may be rejected and if you are employed your employment may be terminated at any time In consideration of your employment do you agree to conform to the companys rules and regulations and agree that your employment and compensation can be terminated with or without cause and with or without notice at any time at either your or the companys option Do you also understand and agree that the terms and conditions of your employment may be changed with or without cause and with or without notice at any time by the company I understand that no company representative other than its president and then only when in writing and signed by the president has any authority to enter into any agreement for employment for any specific period of time or to make any agreement contrary to the foregoing.

I Agree and Certify
I Disagree
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