Application

Personal Information

Items marked with a * are required.

* First Name:

MI:

* Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip/Postal Code:

Country:

* Email Address:

Phone, Primary:

Phone, Secondary:

Employment Information

Position Applying For:

or, if other

Salary Requirement:

Are you applying for full or part time employment?
Full Time:	Part Time:	Seasonal:

Days of the week available to work:
Sunday:	Monday:	Tuesday:	Wednesday:	Thursday:	Friday:	Saturday:

Shift/Hours Available:

Date Available to Begin:

How did you hear about J&P Cycles?
School:		Friend:		Relative:		Advertisement:

Employee:

Employee Name:

Other:

Do you have any relatives employed by J&P Cycles?
Yes:	No:	Name:		Relationship:

* Have you ever been convicted of, pled guilty or pled "no contest" (Nolo Contendere) to a felony or misdemeanor other than a traffic violation? (Please explain in the remarks section below)

Yes:

No:

Remarks:

	Yes:	No:
Have you ever applied at J&P Cycles Before?
Have you ever been interviewed by J&P Cycles Before?
Have you ever been employed by J&P Cycles Before?
Can you travel if the job requires it?
Are you eligible to work in the U.S?
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever been disciplined for absenteeism, tardiness, or any other reason by a previous employer?
Have you ever been discharged or asked to resign by any of your previous employers?
Are you bilingual?
If Yes, what language(s) do you speak in addition to English?