Job Opportunities

Josephine 2.0 is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

Applicant Name

Address

Telephone Number

Email Address

Date of Application

Position(s) Applying for:

How did you hear about this position?

What days are you available for work?

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What hours or shift are you available for work?

If needed, are you available to work overtime?

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On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

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Salary Desired:

Have you ever applied to or worked for Josephine 2.0 before?

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If yes, when?

Do you have any friends, relatives or acquaintances working for Josephine 2.0?

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If yes, state name & relationship

Are you 18 years of age or older?

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Are you a U.S. citizen or approved to work in the United States?

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What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

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Do you have any condition which would require job accommodations?

Please provide the required field.

If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

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If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: Josephine 2.0 complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

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High School

College / University

Vocational School / Specialized Training

Are you a member of the Armed Services?

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What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Employer Name

Employer Name

Employer Name

Please provide 3 personal and professional reference(s) below

Other Skills Description

The relationship between you and the Josephine 2.0 is referred to as "employment at will". This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Josephine 2.0. No representative of Josephine 2.0 has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will", and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

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Applicant Signature

Dated

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