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  • Jerry's Services, Inc.

    Jerry's Services, Inc.

    Employment Application
  • Personal Information

  • Date
     / /
  • Available Start Date
     / /
  • Date of Birth
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you currently employed?
  • May we contact your employer?
  • Have you previously applied at Jerry's Services?
  • Have you previously worked at Jerry's Services?
  • Are you eligible to work in the United States?
  • Are you 18 years old or older?
  • Do you have a valid Driver's License?
  • Have you ever been fired by an employer?
  • Employment History

  • Employment Start Date
     / /
  • Employment End Date
     / /
  • Employment Start Date
     / /
  • Employment End Date
     / /
  • Education Information

  • Did you graduate?
  • Did you graduate?
  • References

    Please list two professional references. (No friends or family.)
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • I certify that all the information submitted by me on this application 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.

    I authorize Jerry's Services or any affiliated entity to perform random drug testing. I agree that failing a drug test or refusing to take a drug test will result in termination. I also authorize Jerry's Services or any affiliated entity to pull driving reports and or background tests.

    In consideration of my employment, I agree to conform to the policies of Jerry's Services or affiliated entities and I agree that my employment and compensation may be terminated, with or without cause, and with or without notice at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by Jerry's Services or affiliated entities. I understand that no company representative, other than the COO, and only when in writing and signed by the COO has any authority to enter into any agreement for employment for any specific period of time.

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