JIG Job Application Form

Employment Application

An Equal Opportunity Employer - All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Personal Information -

Incomplete information could disqualify you from further consideration. Please print & complete all fields.
Full Name: *

First Name Middle Initial Last Name
Phone Number: *
Please enter a valid phone number.
Email Address: *
example@example.com
Current Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Are you legally eligible to be employed in the United States? *

YES NO
Are you at least 18 years or older? *

YES NO
Interested in: *

DAYS NIGHTS WEEKENDS PART TIME FULL TIME STUDENT INTERNSHIP SEASONAL
What location are you applying for? *

Glen Burnie, MD Park Heights, MD Canton, MD
Available Start Date: *

Month Day Year
Date
Position(s) desired: *
Are you able to perform the essential functions of the job for which you are applying for? *

YES NO
Have you ever worked for this company before? *

YES NO
If yes, please explain your reason for leaving. *
Referral Source -
Do you know anyone who works for our company?

YES NO
If yes, who?
How did you hear about us?

Walk-In Website Indeed ZipRecruiter Social Media Other
Other:
AVAILABILITY:

If unavailable on a certain day, please write in "unavailable." This section will be used for scheduling purposes once employed.

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
TIME AVAILABLE FROM:
TIME AVAILABLE TO:

	NAME/LOCATION:	NUMBER OF YRS ATTENDED:	DEGREE RECEIVED:	SUBJECTS STUDIED/MAJOR:
HIGH SCHOOL:
COLLEGE OR UNIVERSITY:
TRADE, BUSINESS OR OTHER SCHOOL:

EMPLOYMENT HISTORY & REFERENCES

Attach your current resume and references or include your most recent employment history starting with the most recent and working backward in time. Incomplete information could disqualify you from further consideration.
Upload Your Resume:

Cancel of
1)
2)
3)
Please read carefully before submitting and signing:

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Judy’s Island Grill to hire me. I attest by submitting this application that I have given to Judy’s Island Grill true and complete information on this application. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or discharge.
Print Name:

First Name Last Name
Signature:

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Should be Empty:

Employment Application