
North Bergen
1-877-JET-WHSE • (Fax) 201-295-0076
JET Distribution offers a wide variety of employment opportunities, ranging from part-time, all the way to career long positions. For employment consideration, please click on the link labeled Employment Application, print and fill out, then mail to:
JET Distribution Services Inc.
P.O. Box 16 Ridgefield, NJ 07657
attn: Human Resources
or
You can email us for more information at:
Employment Application
(Answer all questions- Please print)
In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, natural origin, age, marital status, or non-job related disability.
Date of application___________________________________
Position(s) Applied for_____________________________________________________
Name_________________________________Social Security______________________
(Last, First Middle)
List your addresses of residency for the past 3 years.
Current address______________________________________How long?____________
(Street City State Zip)
Previous addresses___________________________________How Long?____________
(Street City State Zip)
Previous addresses___________________________________How Long?___________
(Street City State Zip)
Previous addresses___________________________________How Long?____________
(Street City State Zip)
In case of emergency contact___________________________________Phone_____________
(Name Street City Zip State)
Do you have the legal right to work in the U.S.__________________________________
Date of birth_______________________Can you provide proof of age?______________
(Required for commercial drivers)
Have you worked for this company before?____________________________________
Dates: From______________To______________Rate of pay______________________
Position___________________Reason for leaving_______________________________
Are you now employed?_______If not, how long since your last employment?________
Who refered you?________________________Rate of pay expected?_______________
Contact/ phone___________________________________
Employment History
Employer
Name__________________________________From____________To______________
Address________________________________________Position Held______________
(City State Zip)
Contact Person______________________________________Phone________________
Reason for leaving____________________________Salary/Wage__________________
Employer
Name__________________________________From____________To______________
Address________________________________________Position Held______________
(City State Zip)
Contact Person______________________________________Phone________________
Reason for leaving____________________________Salary/Wage__________________
Employer
Name__________________________________From____________To______________
Address________________________________________Position Held______________
(City State Zip)
Contact Person______________________________________Phone________________
Reason for leaving____________________________Salary/Wage__________________
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Education
Circle highest grade completed: 1 2 3 4 5 6 7 8 High School: 1 2 3 4 College: 1 2 3 4
High School_____________________________________________________________
(Name City Street State Zip)
College_____________________________________________________________
(Name City Street State Zip)
College Degree Achieved:__________________________________________________
It is agreed and understood that any misrepresentations of information given above shall be considered an act of dishonesty.
It is agreed and understood that the employer or his agents may investigate the applicant’s background to ascertain any and all information of concern to the applicant’s record, whether same is of or record or not, and applicant releases employers and persons named herein from all liability for any damages on account of their furnishing such information.
It is agreed and understood that under the Fair Credit Report Act, Public Law 91-508. I have been told that this investigation may include an Investigating Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.
I agree to furnish such addition information and complete such examinations as may be required to complete my employment file.
This certifies that this application was completed by me, and that all entries on it and such information in it are true and complete to the best of my knowledge, and that any misrepresentation may result in termination.
Date________________Signature of applicant______________________________________________________
Signature of a company officer_______________________________________________
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Fair Credit Reporting Act Disclosure Statement
In accordance with the provisions of Section 604 (B)(2)(A) of the Fair Credit Reporting Act, Public Law 91-508, as amended by the Consumer Credit Reporting Act of 1996 (Title, Subtitle D, Chapter I, of Public Law 104-208), you are being informed that reports verifying your previous employment, previous drug and alcohol test results, and your driving record may be obtained on you for employment purposes. These reports are required by sections 382.413, 391.23 and 391.25 of the Federal Motor Carrier Regulations.
Applicants Signature_______________________________________ Date_________________
Print Name_______________________________________________
Social Security Number____________________________________________________
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