Neon Signs from Jantec Neon








Position applied for:
(See above for descriptions of available jobs)

Street Address:

   State:   Zip:

Phone #(s):

Best time to call is:


Are you currently employed?   Yes    No
If so, may we contact your present employer?  
Yes   No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?   Yes    No

Date available for work: 
What is your desired salary range?
Available to work: 
Full Time     Part Time   (check both if applicable)
Are you currently on "lay-off" status and subject to recall?
Yes  No


Name & Address of High School:

Indicate course of study and indicate whether you graduated:

Indicate College or Trade School attended, course of study, and if graduated


Describe your present or last job. Include Employer Name, Address & Phone Number. Start Date, Ending Date, Job Title, Starting Wage and Ending Wage. Also include your Supervisor Name and Reason for Leaving. All information must be included in order for your application to be considered.

Describe the job you had prior to the above job. Include the same information as above.

Describe the job you had prior to the above job. Include the same information as above.

 SPECIAL SKILLS:           

Describe any special skills or training you have. Describe your level of computer literacy including the programs you are proficient at, typing skills (WPM), etc.

Do you consider yourself computer literate?   Very   Somewhat   No


Describe hobbies you are interested in, and any civic organizations you are involved with.
(You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status)

Where did you hear about the job opening with us at Jantec Neon?

Please type a paragraph below explaining why you would like to join the Jantec team:

Note that this is an abbreviated version of our full application for employment. If you are called in for an interview, you will be asked to bring with you other information including 3ea personal references and additional employment information (if the above information does not go back at least 10 years). You will also be asked whether or not we may contact your prior employers.

Information submitted via this form is kept in the strictest confidence and is not provided to any third parties without your permission.

Please click the submit button to complete your application process.

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.


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