Application for Employment

    Have you every been convicted of a felony? YesNo



    Please list three professional references

    Previous Employment

    Please list most recent first

    Military Service

    Driving Record

    Do you have a valid driver's license? YesNo
    Have you been convicted of a DUI/DWI and/or reckless driving? YesNo

    Has your driver’s license ever been suspended? YesNo

    Certifications & Licenses

    Please list any certification or licenses and the expiration date. Examples include General Mineral Miner, Certified Landfill Operator, Land Disturber, Flagman, 10 Hour OSHA, First Aid, CPR.

    Disclaimer and Signature

    By submitting the form I certify that my answers are true and complete to the best of my knowledge.

    If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

    In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

    J.S.G. Corporation is a drug-free workplace. All new hires must take and pass a drug test. Any new hire that does not pass the drug test, will not be eligible to re-apply for employment for 6 months.