JGF Employment Application Form

J.G. Finneran Associates, Inc.

Employment Application

J.G. Finneran Associates, Inc. is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accomodation in the application process, he or she should contact a company representative.

Full Name:*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

E-mail Address:

Date Available*

MonthDayYear

Position Applied For:

Are you a citizen of the United States?*

YesNo

If no, are you authorized to work in the U.S.?

YesNo

Have you ever worked for this company?*

YesNo

If yes, when?

Education

High School

Address

When?

From:To:

Did you graduate?

YesNo

Degree

College

Address

When?

From:To:

Did you graduate?

YesNo

Degree

Other

Address

When?

From:To:

Did you graduate?

YesNo

Degree

References

Please list three (3) professional references.

Reference 1

Name:*

First NameLast Name

Company/Relationship

Phone Number*

Area CodePhone Number

Address

Reference 2

Name:*

First NameLast Name

Company/Relationship

Phone Number*

Area CodePhone Number

Address

Reference 3

Name:*

First NameLast Name

Company/Relationship

Phone Number

Area CodePhone Number

Address

Previous Employment

Company*

Phone Number*

Area CodePhone Number

Address

Supervisor

Job Title

Responsibilities

When?

From:To:

Reason for Leaving:

May we contract your previous supervisor for a reference?*

YesNo

Company*

Phone Number*

Area CodePhone Number

Address

Supervisor

Job Title

Responsibilities

When?

From:To:

Reason for Leaving:

May we contract your previous supervisor for a reference?*

YesNo

Company*

Phone Number*

Area CodePhone Number

Address

Supervisor

Job Title

Responsibilities

When?

From:To:

Reason for Leaving:

May we contract your previous supervisor for a reference?*

YesNo

Military Service

Branch

When?

From:To:

Rank at Discharge

Type of Discharge

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Name/Signature*

AT-WILL EMPLOYMENT

Should you be offered a position with J.G. Finneran Assoicates, Inc., the relationship between you and J.G. Finneran Associates, Inc. is referred to as "employment at will". This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or J.G. Finneran Associates, Inc. No representative of J.G. Finneran Associates, Inc. has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will" and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and our Senior Vice-President.

Name/Signature*