JBN & Associates

• Let us know your name:
• We’ll also need your e-mail address. Don’t worry it’s confidential:
• What is your current street address?
• Your apartment or unit number if applicable: (not required)
• What city do you currently reside in?
• What state do you currently reside in?
• And what is your zip code?
• Let’s get your phone number; preferably the one we can best reach you at: i.e. (123)456-7890

• What is your desired type of employment?
  • Direct Hire
  • Temporary
• What is your desired wage?
  • Salary
  • Hourly

• What is your current employment status? Check the one that best describes you:
  • Currently employed
  • Currently unemployed
  • Working part-time
  • Working night & weekends
• Are you eligible to work in the US?
  • yes
  • no
• Have you ever been convicted of any crime? (A conviction will not be an absolute bar to employment)
  • yes
  • no
  • If yes, then where were you convicted?
  • When were you convicted?
  • What is the disposition of this case?

• What was the name of the institute/college/school attended?
• What was the program you enrolled in?
• What was the degree obtained? (if applicable; not required)

• What was the name of the company?
• What was your job title?
• What was the department you worked in?
• Was your position salary or hourly? (not required)
  • Salary
  • Hourly
• What was your salary or hourly rate? (not required)
• When did you start working here? (not required) mm/yyyy
• When did you leave this employer? (not required) mm/yyyy
• May we contact this employer?
  • yes
  • no

This is important for us to consider your submission. Please attach your resume in a Microsoft Word (.doc) format (or .rtf if not available in Word format). Locate your résumé on your computer using the button below:

• Attach your resume

I certify that all information entered on this application is accurate and complete to the best of my knowledge. I understand that falsification of any information whether by providing inaccurate information or by withholding relevant information is grounds for immediate termination of employment. I also understand that investigation inquiries may be made while seeking employment, including consumer, criminal, and driving background. Inquiries may also be made regarding character, work habits, performance, experience as well as reasons for termination of previous employment. I authorize without reservation any party or agency contacted by JBN & Associates, LLC to furnish this information.

• Sign your name here by typing it to agree to the above statement: