JJAB 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?

EmployeeNewspaper AdFacebookWebsiteIndeed.comOther (please specify)
Other:
Upload Resume:*

Upload a File

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Upload Cover Letter:

Upload a File

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Job Skills & Training
Describe your skills:*
Training or Certifications:
Salary Requirement (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.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the organization'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 the organization.

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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