Please enable JavaScript in your browser to complete this form.JASWAL CORP Application for Employment Jaswal Corp. is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation. PLEASE TYPE OR PRINT. Complete the entire application. You may attach a resume, but you must still complete all questions or your application will be deemed incomplete and may not be considered. Please fill out each box ( don't just indicate "See Resume.") Applications with missing or invalid 'job numbers will not be considered for a position. Position Applying For: JOB#Street Address:Name (Last, First, Middle):City, State & Zip:Other names under which you have attended school or been employedSocial Security Number:Home Phone:Work PhoneOther PhoneAre you eligible to work in the United States?YesNoAre ou 18 ears of a e or older?YesNoAre you currently employed at (company)?YesNoHave you ever been employed by (company)?YesNoAre you related to any current (company employee)YesNoIf required for position, do you have a valid driver's license?YesNoIf No, What Is your current age?If YES, What Is your current job title & department?If YES, dates of employment & reason for leaving:If YES, their name & their relationship to you?If YES, State of issuance, license#, and expiration dateHow did you learn about this employment opportunity at ? Check all that applyAd in newspaperJob Bulletin (Posting) /Walk-inWebsiteDept. of LaborAd in magazineReferral by employeeOther:EDUCATION Name of School High School: High School: GED: Other School: College: College: Did you graduate YesNoYesNoYesNoYesNoYesNoYesNoYear Name of degree Email *BirthdaySKILLS: Please list technical skills, clerical skills, trade skills, etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, exoert)WORK EXPERIENCE-Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Attach additional sheets if necessary. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments. PLEASE DO NOT complete this information with the notation "See Resume." PLEASE NOTE: Jaswal Corp. reserves the right to contact all current and former employers for reference information DateCheckboxesFull TimePart TimeIf part-time, # hrs./wk:Title:Starting Salary:Final Salary:Organization Name and Address:Supervisor's Name, Title and Phone #Other Reference Name, Title and Phone #Contact my current references:Any any TimeOnly if I am a finalist candidatePrimary duties:Reason for Leaving:Work Experience 2DateCheckboxesFull TimePart TimeIf part-time, # hrs./wk:Title: Starting Salary:Final Salary:Organization Name and Address:Supervisor's Name, Title and Phone # Other Reference Name, Title and Phone #Contact my current references:Any any TimeOnly if I am a finalist candidatePrimary duties: Reason for Leaving:Work Experience 3Date (copy)Checkboxes (copy)Full TimePart TimeIf part-time, # hrs./wk:Title: (copy)Starting Salary: (copy)Final Salary: (copy)Organization Name and Address: (copy)Supervisor's Name, Title and Phone # (copy)Other Reference Name, Title and Phone # (copy)Contact my current references: (copy)Any any TimeOnly if I am a finalist candidatePrimary duties: (copy)Reason for Leaving: (copy)PLEASE READ CAREFUl,L Y AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION. I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds forelimination from consideration for employment, or termination after employment if discovered at a later date. r authorize Jaswal Corpto investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment I understand that this document is NOT an offer of employment, and that an ofter of employment, if tendered, does NOT constitute a contract for continued guaranteed employment I understand thatstaff employees of Jaswal Corp serve at-will. and the employment relationship may be terminated at any time by either party, orany or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis, I understand that I would be required to make mandatory contributions to the Jaswal Corp Retirement System or to an optional retirement program, if applicable. l understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand that the first SIX MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal. Signature Clear Signature DateSubmit