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Employment Application

We conduct a drug test and criminal background check on all contingent job offers.

Morris-Jenkins Co. does not discriminate in employment opportunities on the basis of color, race, religion, gender, national origin or any other characteristic protected by law.

Thank you for your interest. All required fields are marked with *

General Information

Position(s) Applied For*

First Name*
Middle Name
Last Name*

Address*

City*
State*
Zip*

Home Phone Number*
Work Phone Number
Other Phone Number

Month and Date of Birth (do not include year)

Criminal Convictions

Have you ever been convicted of any crime (including DUI and DWI), submitted a plea of Guilty, No Contest, Prayer For Judgment, or similar plea, or served probation as a result of deferred prosecution, pretrial intervention, or other similar agreement?


If yes, please explain each conviction and state felony or misdemeanor. Provide dates of any convictions.
Please note: Failure to list any convictions or special judgments may disqualify an applicant from consideration of employment. If any such omission is found during any period of subsequent employment, disciplinary action up to termination may result. Answering yes does not necessarily disqualify an applicant from employment.

Personal Employment History

Are you currently on layoff status, leave of absence, or other suspension of employment and are subject to recall with another employer?

  If yes, please explain

Has Morris-Jenkins ever employed you?

  If yes, please explain

Please list all employment for the last ten (10) years starting with your current or most recent employer. Include military service and all periods of unemployment. Job history information must be written on this application to receive consideration for employment.


Employer #1

Employer

Address

Home Phone Number
Work Phone Number
Other Phone Number

Last/Current Supervisor and their Title

Date Employed (From)
Date Employed (To)

Rate of Pay (Start)
Rate of Pay (End)

Job Duties

Are you currently employed by the company above?

  If no, please explain why

May We Contact This Company For A Reference?


  Did This Company Terminate Your Employment?


Are You Eligible To Be Rehired At This Company?



Employer #2

Employer

Address

Home Phone Number
Work Phone Number
Other Phone Number

Last/Current Supervisor and their Title

Date Employed (From)
Date Employed (To)

Rate of Pay (Start)
Rate of Pay (End)

Job Duties

Are you currently employed by the company above?

  If no, please explain why

May We Contact This Company For A Reference?


  Did This Company Terminate Your Employment?


Are You Eligible To Be Rehired At This Company?



Employer #3

Employer

Address

Home Phone Number
Work Phone Number
Other Phone Number

Last/Current Supervisor and their Title

Date Employed (From)
Date Employed (To)

Rate of Pay (Start)
Rate of Pay (End)

Job Duties

Are you currently employed by the company above?

  If no, please explain why

May We Contact This Company For A Reference?


  Did This Company Terminate Your Employment?


Are You Eligible To Be Rehired At This Company?



Employer #4

Employer

Address

Home Phone Number
Work Phone Number
Other Phone Number

Last/Current Supervisor and their Title

Date Employed (From)
Date Employed (To)

Rate of Pay (Start)
Rate of Pay (End)

Job Duties

Are you currently employed by the company above?

  If no, please explain why

May We Contact This Company For A Reference?


  Did This Company Terminate Your Employment?


Are You Eligible To Be Rehired At This Company?



Education History

High School Name & Address
High School Course of Study

High School Years Completed
High School Diploma/Degree

Undergraduate College Name & Address
Undergraduate College Course of Study

Undergraduate College Years Completed
Undergraduate College Diploma/Degree

Graduate Professional Name & Address
Graduate Professional Course of Study

Graduate Professional Years Completed
Graduate Professional Diploma/Degree

Other (specify) Name & Address
Other Course of Study

Other Years Completed
Other Diploma/Degree

Foreign Languages

Fluent Good Fair
Speak
Read
Write

Specialized Information

Describe Any Specialized Training, Apprenticeship, Skills, and Certifications

References

List the names, telephone numbers, and the type of association with you (2) references. Please do not list relatives.

Reference #1

Reference #2

How did you learn about us?

















Resume

Attach Your Resume

Important Information

Important Information concerning your application and/or employment. Please read carefully.

By submitting this form, I state that the information provided in this employment application and any accompanying documentation is true and complete. I also understand that any false or misleading information or signigicant omissions may disqualify me from further consideration of employment with Morris-Jenkins, and is grounds for my immediate dismissal if discovered at a later date.

I hereby give Morris-Jenkins Co. permission to contact schools, previous employers (unless otherwise indicated), references, and, at Morris-Jenkins' discretion, to determine my qualifications for employment, and hereby release Morris-Jenkins Co. from any liability as a result of such contact.

I agree to immediately notify Morris-Jenkins should I be convicted of a felony, or any crime involving dishonesty, breach of trust, controlled substances, sexual misconduct, or violence, either while my application is pending, or during my employment.

I hereby understand and acknowledge that, unless otherwise defined by application law, my employment relationship with Morris-Jenkins is of an "at will" nature, which means that an employee may resign at any time and the employer may dismiss the employee at any time with or without cause. It is further understood that the "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Morris-Jenkins Company.

I understand that a drug test will be required and my driving record will be checked for violations. I also understand that there will be a background check for criminal convictions. I hereby consent to a pre and/or post employment drug screen as a condition of employment, if required.

Did you complete this application yourself?

If not, please list the name of the person who did:

 

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