J. F. Travers Inc.

Online Application for Employment

Complete all applicable fields and submit the application using the Submit button at the end of the form.  The application will then be emailed to us.  

You will see a confirmation screen of what was submitted after you hit the Submit button.  This confirmation screen can be printed for your own records using the File > Print command in the menu bar or the by using the printer icon in the toolbar.  

Today's Date

  

Name

  

Street Address

  

City

  

State

  

Zip Code

  

Telephone

Alternate Telephone

E-mail

U.S. Citizen?

   Yes       No
 
Education and Training

High School

Did you graduate?

   Yes       No       

What year? 

GED?

   Yes       No 
 

College/Trade School

Dates Attended ( from-to) 

  

Did you graduate?

   Yes       No         

 

  Degree 

Course of Study 

  
  

College/Trade School

Dates Attended ( from-to) 

  

Did you graduate?

   Yes       No          

Degree 

Course of Study 

  
 
Valid PA drivers license?   Yes       No         
   License # 
Valid PA commercial drivers license (CDL)?   Yes       No       
Class       License # 
 
Have you ever operated a backhoe or other heavy equipment?             Yes       No   

Explain what, when, and where.
  
Have you ever been charged with a crime or addicted to drugs?           Yes       No   

Explain the circumstance, sentence, treatment, or outcome.
 
Employment History
 

Employer's Name

Employer's Address

Employer's Telephone

Position Title

Employment Dates (from-to)

Major job duties
  

Employer's Name

Employer's Address

Employer's Telephone

Position Title

Employment Dates (from-to)

Major job duties
 

Employer's Name

Employer's Address

Employer's Telephone

Position Title

Employment Dates (from-to)

Major job duties
 

Employer's Name

Employer's Address

Employer's Telephone

Position Title

Employment Dates (from-to)

Major job duties
List any additional information, skills, training, and experience you feel are applicable

I HEREBY CERTIFY THAT ALL STATEMENTS ARE COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.   I AM AWARE THAT ALL STATEMENTS CONTAINED HEREIN WILL BE VERIFIED AND THAT WILLFUL MISREPRESENTATION WILL RESULT IN DISMISSAL.  

I AM AWARE THAT I WILL BE REQUIRED TO UNDERGO A PHYSICAL EXAMINATION, DRUG SCREENING AND CRIMINAL BACKGROUND CHECK BEFORE BEING HIRED.

ELECTRONIC SIGNATURE:  BY ENTERING MY NAME AND DATE, I AM ACKNOWLEDGING MY SIGNATURE ON THIS ELECTRONIC DOCUMENT.

Name     

Date      

Review the document for accuracy, and submit the application using the Submit button below.  After submitting the application, you will see a confirmation of what was submitted.