Friends or Relatives We Employ
Are you employed now?
May we contact your current employer?
Have you applied with Jer-Den Plastics before?
Diploma or GED?
College/ University / Trade School
Other Education or Certifications
Other Activities, Hobbies, Awards
Do not include organizations which will indicate your race, creed, sex, marital status, age, color, or national origin.
List your last three employers, starting with the present or most recent.
I have a valid driver's license
I am a US Citizen, or a Non-Citizen Who is Authorized to Work in the United States
By checking this box I certify that this information is true & accurate. I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal. I understand & agree that if hired, my employment is for no definite period and may, at the discretion of Jer-Den, be terminated at any time without previous notice.