Submit Your Application Name First Middle Initial Last Address Street Address City State / Province / Region ZIP / Postal Code Home PhoneCell PhoneEmail Address Do you have a valid Driver's License?Select Option...YesNoDo you have a reliable source of transportation?Select Option...YesNoIf "Yes" what type? List the tools you currently haveResume(Required)Accepted file types: pdf, Max. file size: 512 MB.Are you legally eligible to work in the United States? Yes No Position applying for Desired Salary Type of Employment Full Time Part Time Full Time or Part Time What days and time are you available to work?Background CheckHave you ever been convicted of a felony Yes No If Yes, please explainWhen you sign this application, your signature will give JC Smith LLC permission to perform a background check on your criminal history. Given the litigation climate and potential employer liability for workers’ actions, JC Smith must review criminal records with consideration of whether the record is job-related. The background check use constitutes a business necessity. It is a discriminatory disparate impact on groups protected under Title VII of the Civil Rights Act.ReferencesFor employment references, may we contact:Your current / most recent employer? Yes No Your previous employers? Yes No Please list other references herePlease include Name, Phone Number, and your relationship with referenceSignature I understand that a false statement man disqualify me from employment of be grounds for dismissalSignature(Required) Please type your nameDate MM slash DD slash YYYY
