Employment Application Name * First Name Last Name Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Are you over the age of 18? * Yes No EMPLOYMENT POSITIONS Position(s) applying for: * Are you applying for: * Part-Time Work Full-Time Work What days and hours are you available to work? * If hired, when can you start working? * Can you work on the weekends? * Yes No Salary Desired * EDUCATION How much education have you completed? * High School/GED Some College/Trade School AA or AS Degree Bachelor's Degree Other EMPLOYMENT HISTORY Are you currently employed? * Yes No Do you have previous working experience? * Yes No RELATED SKILLS & QUALIFICATIONS Describe any related skills and/or qualifications you have * Reason(s) why you should be considered for the position(s) you are applying for: * RESUME Signature By signing below, I confirm that the information provided on this application and my resume are accurate and truthful to the best of my knowledge. Signature * Date * MM DD YYYY Thank you for submitting an employment application with Jeff's. We will review your application and contact you if we would like to schedule an interview.