Employment Application Form

Employment Application

Complete the form below accurately indicating your potentials and suitability for the job.
Position Applying For:
Name:

First NameLast Name
Phone Number:

Area CodePhone Number
E-mail Address:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?
Other:
Upload Resume:

Upload a File

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Upload Cover Letter

Browse Files

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Job Skills & Training
Describe your skills:
Training or Certifications:
Salary Requirements (annual or hourly)
References Please list two (2) references that are familiar with your work life.
Reference 1
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
In What Capacity Does This Person Know You?
Years Known:
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
In What Capacity Does This Person Know You?
Years Known:
By clicking the submit button below, I certify that all of the information provided by me on this application, and uploaded documents, is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

If selected, I understand that I must clear multiple background checks as a condition of employment.

Los Alamos JJAB is an equal opportunity employer. We will not discriminate and will take affirmative action measures to ensure against discrimination in recruitment, advertisements, compensation, termination, and other conditions of employment on the bases of race, color, gender, national origin, age, religion, creed, disability, veteran's status, sexual orientation, gender identity or gender expression.
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