JJK Foundation Employment Application

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Employment Application

Full Name *

Phone Number*

Email address*

City, State, Zip Code*

Street Address*

Position Applying For

Date Available*

Desired Salary

Are you a United States citizen?*

Yes

If no, I am authorized to work in the U.S.*

Have you ever worked for this organization?*

Yes

If yes, when?

Have you ever been convicted of a felony?*

Yes

If yes, please explain.

Education

High School

To - From

College

To - From

Degree

Address

Did you graduate?

Address

Did you graduate?

Reference

Please list 3 professional references.

Full Name*

Phone Number*

Relationship*

Email address*

Reference

Full Name*

Phone Number*

Relationship*

Email address*

Reference

Full Name*

Phone Number*

Relationship*

Email address*

Military Service

Branch

Rank at discharge:

From - To

Type of discharge:

If other than honorable, please explain:

Work History

Company

Job Title

From - To

Phone Number

Supervisor

Reason for leaving:

Responsibilities

May we contact your previous supervisor for a reference?

Yes

Company

Job Title

From - To

Phone Number

Supervisor

Reason for leaving:

Responsibilities

May we contact your previous supervisor for a reference?

Yes

Company

Job Title

From - To

Phone Number

Supervisor

Reason for leaving:

Responsibilities

May we contact your previous supervisor for a reference?

Yes

How did you hear about this position?

Please specify

How did you heard about this position?

Do you have a physical or medical condition which would limit your capacity for the job applied? If yes, please explain.

Disclaimer and Signature

Signature*

Consent

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 termination

1/14/2026

I have the right to make a request to IntelliCorp Records, Inc. upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including sources of information and the recipients of any reports on me which IntelliCorp Records Inc. has previously furnished within the two year period preceding my request. I certify that all elements of the personal data I have provided are true, accurate and complete. I understand and agree that any omission, false statement, misleading statement or answer made by me on my application or any supplements to it and in any interviews will be sufficient grounds for rejection.

This field should be left blank