Employment Application

John Plott Company, Inc. is committed to recruiting, hiring, compensating and promoting the best-qualified individuals for positions at all levels within the organization. JPC maintains its commitment to equal employment opportunity for all individuals, free from discrimination based upon gender, race, color, religion, national origin, marital status or any other prohibited biases in accordance with applicable laws.

Position Applied for:		Date of Application:
Name (Last Name First):		Present Address:
City:		State:
Zip Code:		Permanent Address:
City:		State:
Zip Code:		Phone:
Secondary Phone:		Email:
Referred By:

PLEASE NOTE: All applicants will be required to furnish proof of identity and legal work authorization.

Do you have a current, valid driver's license?		If yes, Driver's license number:
State:		Expiration Date:
Type:
Have you ever worked for John Plott Company, Inc. or any of its affiliate companies in the past?
If yes, state the date you were employed:		If yes, state the name your employer:

Education History

High School
Name & Location of School:		Years Attended:
Did You Graduate?		Subjects Studied:
College
Name & Location of School:		Years Attended:
Did You Graduate?		Subjects Studied:
Trade, Business, or Correspondence School
Name & Location of School:		Years Attended:
Did You Graduate?		Subjects Studied:

General Information

Subject of Special Study:		Research Work:
Special Training:		Special Skills:
U.S. Military or Naval Service:		Rank:

Employment History - List below last four employers, starting with last one first
Employer 1
From:		To:
Name:		Address:
City:		State:
Zip Code:
Position:		Reason for Leaving:
Employer 2
From:		To:
Name:		Address:
City:		State:
Zip Code:
Position:		Reason for Leaving:
Employer 3
From:		To:
Name:		Address:
City:		State:
Zip Code:
Position:		Reason for Leaving:
Employer 4
From:		To:
Name:		Address:
City:		State:
Zip Code:
Position:		Reason for Leaving:

References
Reference 1
Name:		Address:
City:		State:
Zip Code:		Phone:
Reference 2
Name:		Address:
City:		State:
Zip Code:		Phone:
Reference 3
Name:		Address:
City:		State:
Zip Code:		Phone:

Agreement Please read the following statements carefully before sending. I hereby certify and affirm that the information provided on this application and in any accompanying resume is true and complete to the best of my knowledge. I understand that any false statements, misstatements or omissions in this application, in any accompanying resume, or during any interview, will result in a decision not to hire me, or to discharge me if discovered after I am hired. I authorize John Plott Co., Inc. to make all necessary and appropriate investigations and inquiries to verify the information contained herein and in any accompanying resume. I authorize all schools, current and former employers, references and other persons named in this application or in any accompanying resume to provide the Company with any job-related information it may require to arrive at an employment decision. I hereby release the Company and all such schools, current and former employers, references and other persons from any and all liability in connection with information provided or received in connection with my employment application. I understand that if I am offered a position with this company, I may be required to pass a pre-employment physical and / or drug test as a condition of employment. I understand that an offer of employment may be contingent upon the results of a physical examination and / or representation that I can perform the functions of the job for which I may be offered. I further understand that this employment application and any post-offer questionnaires becomes a part of the terms and conditions of employment. I understand and agree that my employment with the Company may be terminated by the Company or by me at any time, with or without notice and with or without cause. I understand that nothing in this application or in any other Company document(s) creates, or should be construed by me to create, any contract of employment between the Company and me. I understand that any misrepresentation as to pre-existing physical or mental conditions may void my worker�s compensation benefits.
I have read and understand the Agreement statement.

Upload your resume:

Employment Application

PLEASE NOTE: All applicants will be required to furnish proof of identity and legal work authorization.

Education History

High School

College

Trade, Business, or Correspondence School

General Information

Employment History - List below last four employers, starting with last one first

Employer 1

Employer 2

Employer 3

Employer 4

References

Reference 1

Reference 2

Reference 3

Agreement

Please read the following statements carefully before sending.