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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: _______________ ************************************************************************************** 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: _______________ ************************************************************************************** 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: _______________ ************************************************************************************** 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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For Questions or Comments about this web site please email: Wiley Chapman.
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