Jimmy John Job Application – Fill Out and Use This PDF

Please Print

THIS SIDE TO BE COMPLETED BY APPLICANT

An Equal Opportunity Employer

PERSONAL INFORMATION

Last Name

First Name

MI

Do you have any relatives working for this Jimmy John’s store? ❑ Yes

❑ No

If “Yes”, give name, relationship, department/location.

Street Address

Box/Apt.

Home Phone

Cell Phone

Referred By: ❑ Newspaper/Advertisement ❑ Individual

❑ Gov’t Agency ❑ Employment Agency ❑ College ❑ Other

City

State

Zip Code

Have you ever been employed by this or any

If “Yes”, please complete this line:

Mo

Yr

Mo

Yr

Name of Supervisor

Location

other Jimmy John’s store? ❑ Yes

❑ No

Date of Employment

From:

/

To:

/

Position Desired

Employment Desired

Hours Available

M

T

W

T

F

Sa

Su

Have you ever been convicted of a felony? ❑ Yes

❑ No

If “Yes”, explain:

❑ Full Time

From

❑ Part Time

Criminal convictions must be disclosed on this application and will

be considered prior to an offer of employment only as applicable to

Are you under 18 years of

If “Yes” please provide birth date.

the position applied for and the date and nature of the crime. Jimmy

age?

To

John’s does not take into consideration for the basis of employment

❑ Yes

❑ No

/

/

the fact of an arrest or criminal history record information ordered

expunged, sealed or impounded.

EDUCATION (Name and address of school)

Major

Number of Years

Diploma/Degree

Signature

College

I understand that this application was made

available on line in an effort to assist me in applying

for a position with an independently owned Jimmy

High School

John’s Gourmet Sub Shop. I acknowledge that this

application will be made in association with the

owner of the Jimmy John’s Sub Shop I am applying

Other

to work for and that is the entity referred to as

“Employer” on the application. I agree that I shall not

file a claim, lawsuit, charge or cause of action of any

EMPLOYMENT (List most recent job first)

kind arising out of my employment with Employer

Company

Address

Name of Supervisor

or the termination of my employment any later than

the 180th day after my termination and

that my

Job Title/Duties Performed

Phone # (Area Code)

From

To

agreement to shorten

any applicable

statue of

limitations under any state or federal law is without

(

)

Mo.

Yr.

Mo.

Yr.

prejudice to my rights to bring any such claim should

Reason for Leaving

Starting Pay

Ending Pay

I so choose. Upon hire, I agree that this application

forms a binding contract of the terms above between

Company

Address

Name of Supervisor

myself and my employer. I certify that the information

contained in this application is correct to the best

of my knowledge and understand that falsification

Job Title/Duties Performed

Phone # (Area Code)

From

To

of this information may be grounds for dismissal in

(

)

Mo.

Yr.

Mo.

Yr.

accordance with the Employers policy. I authorize

Reason for Leaving

Starting Pay

Ending Pay

the references and supervisors listed above to give

you any and all information concerning my pervious

Company

Address

Name of Supervisor

employment and any

pertinent information

they

may have personal or otherwise and release all

parties from all liability for any damage that may

Job Title/Duties Performed

Phone # (Area Code)

From

To

result from furnishing same to you. In consideration

(

)

Mo.

Yr.

Mo.

Yr.

of my employment, I agree to conform to the

Reason for Leaving

Starting Pay

Ending Pay

rules and regulations of Employer and that my

employment and compensation can be terminated at

any time with or without cause, at the option of either

MAY WE CONTACT YOUR PRESENT EMPLOYER?

❑ Yes

❑ No

the company or myself.

PERSONAL REFERENCES (Not former employers or relatives)

Signature

Name

Relationship or Title

Phone # (Area Code)

(

)

Date

Name

Relationship or Title

Phone # (Area Code)

(

)

©2010 JIMMY JOHN’S FRANCHISE, LLC ALL RIGHTS RESERVED.

REV 11.16.12