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NO JOB OPENINGS AT THIS TIME

         

 Jasper-Newton Electric Cooperative, Inc. (JNEC)

does not accept applications when there are no job openings. 

 

 

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JASPER-NEWTON ELECTRIC COOPERATIVE, INC.

APPLICATION FOR EMPLOYMENT

Name: Last ______________________________ First __________________ Middle_______________ 

Address _____________________________________________________________________________ 

Phone: ( ______ ) __________________ or ( ______ ) _____________________

Social Security Number: ______ - ____ - __________   Are you 18 years of age or older? 􀂆Yes 􀂆 No

Are you legally eligible to become employed in the United States? 􀂆Yes 􀂆 No

Position Desired:                                         Salary Desired:                              Date Available to Work:

______________________________        _______________________           _______________________

How did you hear about this job opening? 􀂆Newspaper 􀂆State Employment Office 􀂆Friend 􀂆Other

EDUCATION:

High School: _________________________Location: ___________________ Did you graduate?_______ College: ____________________________ Location: ___________________ Years Attended: ________ Course of Study: _________________________________________________ Did you graduate? ______ Trade School: ________________________ Location: ___________________Years Attended: ________ Course of Study __________________________________________________ Did you graduate? ______

MILITARY SERVICE:

Branch of Service: _________________________ Discharge Date: ____________ Rank: _____________

Describe other training and/or skills: ________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

REFERENCES: (Please do not list relatives as references.)

            Name                         Address & Phone Number         Occupation or Business         Years Known

1. __________________    _________________________    ______________________    ______________

                                            _________________________

2. __________________    _________________________    ______________________    ______________

                                            _________________________

3. __________________    _________________________    ______________________    ______________

                                            _________________________
 

WORK HISTORY: (Please list your last three employers - the most recent experience first.)

Name and address of present (or last) employer:______________________________________________ _______________________________________________________________________________________

Beginning Weekly Salary: $______________     Present (or final) Weekly Salary :$__________________ Job Title: ___________________________ Name and title of supervisor: __________________________ May we contact your supervisor? ________ Phone Number: ( _____ ) _____________________________ Reason for leaving:______________________________________________________________________ Hire Date: ____________  Termination Date: _______________

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Name and address of present (or last) employer:______________________________________________ ______________________________________________________________________________________

Beginning Weekly Salary: $_____________     Present (or final) Weekly Salary :$__________________ Job Title: ___________________________ Name and title of supervisor: _________________________ May we contact your supervisor? ________ Phone Number: ( _____ ) ____________________________ Reason for leaving:______________________________________________________________________ Hire Date: ____________  Termination Date: _______________

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Name and address of present (or last) employer:______________________________________________ _______________________________________________________________________________________

 Beginning Weekly Salary: $_____________     Present (or final) Weekly Salary :$__________________ Job Title: ___________________________ Name and title of supervisor: __________________________ May we contact your supervisor? ________ Phone Number: ( _____ ) _____________________________ Reason for leaving:______________________________________________________________________ Hire Date: ____________  Termination Date: _______________

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By my signature below I certify that all information I have provided herein is true and complete. I understand that my application may be rejected (or my employment may be terminated) if the information I have provided contains any false information, omissions or misrepresentations. I understand that employment at Jasper-Newton Electric Cooperative, Inc. is on an at-will basis. Accordingly, my employment may be terminated at any time, by me or by the Cooperative with or without notice and with or without cause. I also understand that the at-will nature of my employment with the Cooperative may not be modified except by a written document signed by the Board of Directors of the Cooperative and that no Cooperative employee or manager is authorized to make any agreements or assurances concerning the terms, conditions or duration of my employment.

___________________________________________________     ______________________________ Applicant Signature                                                                          Date

 

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