Application If you are human, leave this field blank.1JONES BROS. APPLICATION FOR EMPLOYMENT THIS COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER PLEASE ANSWER ALL QUESTIONS COMPLETELY AND ACCURATELY Name/Nombre:LAST *FIRST *MIDDLEOther names you have used:#1 TELEPHONE/Telefono#2 TELEPHONE/Telefono Current Address/Dirección actual:AddressApt, suite, etc.CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codeYears at this address? / Ano en esta direccion?YearsMonths Previous address/Direccion anterior:AddressApt, suite, etc.CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codeYears at this address? / Ano en esta direccion?YearsMonths Person to Notify in Case of Emergency/A quien podemos Llamar en caso de emergencia?NamePhone Page BreakPOSTION/POSICIONOver age 18? / Tienes más de 18 años?YesNoSkills, Training & Equipment you can operate/Entrenamiento, Equipos que puedes opera Employed with company before? /Empleado con la empresa antes? YesNoIf yes, when & supervisor’s name/Si es asÃ, cuando y nombre de los supervisors? EVER CONVICTED OF A FELONY? Has sido condenado por un a felonÃa? YesNoIf yes, Dates & Convection/Si es asÃ, Fecha y Convección? Any false or misleading statement will be grounds for denial of employment or discharge. I understand the company will be checking into my background. Cualquier declaración falsa o engañosa será motivo de donación de empleo o despido. Entiendo que Understanding / Comprensión *Understood / Entendido Page BreakHow did you hear about our openings? /Como se entero de nuestras positions?Do they work for company/Trabaja para la compania? YesNoWho do they work for? / Para quien trabajan? References, Friends or Relatives who work for company/Referencia, amigos o familia qui trabaja empressa1Name/Nombre1Address and Telephone/Dirección y Telefono1Relationship to you1Occupation2Name/Nombre2Address and Telephone/Dirección y Telefono2Relationship to you2Occupation3Name/Nombre3Address and Telephone/Dirección y Telefono3Relationship to you3Occupation EDUCATION/EDUCACIONHigh SchoolInstitutions NameAddressYears Completed9101112CollegeInstitutions NameAddressYears Completed9101112DegreeGraduate WorkInstitutions NameAddressYears Completed9101112Degree Page Break5 YEARS OF EMPLOYMENT HISTORY / 5 ANOS DE EMPLEO 1 Employer Name/Nombre del empleado 1 Supervisor1 Telephone/Telefono1 Address/Dirección1 City and State?Ciudad y Estado1 Title/Posición1 Duties/Deberes1 Salary/Salario1 Month/Year started Mes/año de comienzo1 Month/Year left Mes/Año de partido 2 Employer Name/Nombre del empleado 2 Supervisor2 Telephone/Telefono2 Address/Dirección1 City and State?Ciudad y Estado2 Title/PosiciónDuties/Deberes2 Salary/Salario2 Month/Year started Mes/año de comienzo2 Month/Year left Mes/Año de partido 3 Employer Name/Nombre del empleado 3 Supervisor3 Telephone/Telefono3 Address/Dirección1 City and State?Ciudad y Estado3 Title/PosiciónDuties/Deberes3 Salary/Salario3 Month/Year started Mes/año de comienzo3 Month/Year left Mes/Año de partido 4 Employer Name/Nombre del empleado 4 Supervisor4 Telephone/Telefono4 Address/Dirección4 City and State?Ciudad y Estado4 Title/Posición4 Duties/Deberes4 Salary/Salario4 Month/Year started Mes/año de comienzo4 Month/Year left Mes/Año de partido Page BreakHeadingInstructionsAny false or misleading statements will be grounds for denial of employment or discharge. I understand the company will be checking into my references and employment background. I authorize the company to do so and release from liability anyone giving or obtaining such background information. This application does not constitute a contract of employment or an indication that any jobs are available. Any employment with the company is at-will meaning the employer or employee can end the employment relationship at any time for any or no reason and with or without notice. My signature below verifies that I have read and understand the foregoing statements. Cualquier declaración falsa o engañosa será motivo de denegación de empleo o despido. Entiendo que la compañÃa verificará mis referencias y antecedentes laborales. Autorizo a la empresa a que lo haga y libere de responsabilidad a cualquiera que brinde u obtenga dicha información de antecedentes. Esta solicitud no constituye un contrato de trabajo o una indicación de que hay trabajos disponibles. Cualquier empleo con la empresa es a voluntad, lo que significa que el empleador o el empleado pueden finalizar la relación laboral en cualquier momento por cualquier motivo o sin motivo y con o sin previo aviso. Mi firma a continuación verifica que he leÃdo y entiendo las declaraciones anteriores. Signed and Affirmed / Firmado y afirmado Checking this box is your signature. /Marcar esta casilla es su firma. *Understood / EntendidoCaptcha *For security verification, please enter any random two digit number. For example: 34Submit