JOB APPLICATION

JOB APPLICATION

JTAC Services Inc. dba Freight Girlz
APPLICANT INFORMATION
LAST NAME *
FIRST NAME & MIDDLE INITIAL *
SSN *
DATE OF BIRTH *

Month Day Year
Date
STREET ADDRESS *
STREET ADDRESS CONTINUED
PHONE 1 *
PHONE 2
CITY / STATE / ZIP CODE *
Email: *
example@example.com
Are you 18 or older? Yes or No: *
Entitled to work in the U.S.? Yes or No: *
Military service? Yes or No: *
If yes, which branch?
Are you a veteran? Yes or No:
If yes, which war?
Convicted of a felony? Yes or No: *
If yes, please explain.
What position are you applying for? *
How did you learn of the position available? *
Expected Hourly Rate *
Expected Annual Salary
Date Available to Begin *

Month Day Year
Date
Date of Application *

Month Day Year
Date
PREVIOUS EXPERIENCE
EMPLOYER NAME 1 *
START DATE *

Month Day Year
Date
SUPERVISOR NAME *
END DATE *

Month Day Year
Date
STREET ADDRESS *
PHONE *
Address *

EMAIL ADDRESS

Street Address Line 2

CITY / STATE / ZIP CODE
POSITION HELD *
RATE OF PAY *
Reason for leaving? *
May we contact? Yes or No: *
EMPLOYER NAME 2 *
START DATE *

Month Day Year
Date
SUPERVISOR NAME *
END DATE *

Month Day Year
Date
STREET ADDRESS *
PHONE *
Address *

EMAIL ADDRESS

Street Address Line 2

CITY / STATE / ZIP CODE
POSITION HELD *
RATE OF PAY *
Reason for leaving? *
May we contact? Yes or No: *
EMPLOYER NAME 3 *
START DATE *

Month Day Year
Date
SUPERVISOR NAME *
END DATE *

Month Day Year
Date
STREET ADDRESS *
PHONE *
Address *

EMAIL ADDRESS

Street Address Line 2

CITY / STATE / ZIP CODE
POSITION HELD *
RATE OF PAY *
Reason for leaving? *
May we contact? Yes or No: *
EDUCATION
HIGH SCHOOL *
9, 10, 11, or 12: *
MAJOR / EMPHASIS & DEGREE EARNED: *
COLLEGE / UNIVERSITY *
1, 2, 3, or 4:
MAJOR / EMPHASIS & DEGREE EARNED:
TRADE SCHOOL
MAJOR / EMPHASIS & DEGREE EARNED:
OTHER / APPLICABLE TRAINING
APPLICABLE SKILLS / PROFICIENCIES
Upload Resume and supporting references/documentation.

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I certify that the information given on this application is complete and correct.I consent to the contact of former employers/institutions listed above.
Signature *

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DATE *

Month Day Year
Date
Should be Empty:

JOB APPLICATION

APPLICANT INFORMATION

PREVIOUS EXPERIENCE

EDUCATION