First Name*
Last Name*
Email Address*
Phone*
Cover Letter
List any relatives (and their department) currently employed by Jordano's or Pacific Beverage:
What prompted you to apply to Jordano's/Pacific Beverage?
-- No answer -- Company Reputation Online Job Board Company Website Friend Other
If a friend prompted you to apply, please list his or her name below
Have you ever worked for Jordano's or any of its subsidiaries? If so, list the dates and position held:
Date available to start*
Are you at least 18 years of age?*
-- No answer -- Yes No
Can you, upon employment, submit evidence of your identity and legal right to work in the United States?*
-- No answer -- Yes No
EDUCATION
School or University Name
Education Degree/Diploma Obtained
-- No answer -- High School Diploma or Equivalent Associate's Degree Bachelor's Degree Master's Degree Doctoral or Professional Degree
Field of Study
Did you graduate?
-- No answer -- Yes No Current Attending
Other Schools/Education
EMPLOYMENT HISTORY
List your most recent employer first. If lapses occurred between periods of employment give dates of, and reason for unemployment, including military service. Complete all items, even if resume is furnished.
Company Name and City*
Company Phone Number*
Job Title*
Employment dates (MM/DD/YY - MM/DD/YY)*
Description of Job Duties*
Supervisor's name and Job Title*
Reason for Leaving*
May we contact this employer?*
PREVIOUS EMPLOYER
Company Name and City
Company Phone Number
Job Title:
Employment dates (MM/DD/YY - MM/DD/YY)
Description of Job Duties
Supervisor's Name and Job Title
Reason for Leaving
May we contact this employer?
List relevant computer skills and software proficiency:
Other related job experience or additional information that you feel will assist Jordano's in evaluating your qualifications and background:
SKILLS
Do you have a valid Driver's License:
-- No answer -- Yes No
Driver License Type/Class
Class A Calss B Class C
Have you ever had any driver's license, permit or privilege suspended or revoked in the past 5 years?
Yes No
If you answered Yes above, list date(s), location and reason:
AUTHORIZATION
I understand that any unanswered questions on this application may cause this application to be rejected. I also understand that any false, misleading, or incomplete statement or material omission on this application may result in rejection of my application, or if discovered after an offer of employment has been made, result in disciplinary action, up to and including termination. I understand that Jordano's may contact my prior employers for purposes of reviewing my background. I authorize all former employers and schools to furnish Jordano's and its subsidiaries with information regarding my service, past performance, character, reason for leaving and qualifications. I hereby release such former employers, schools and persons from all liability on account of providing such information. I understand that any offer of employment may be conditioned upon my successfully passing a post-offer physical exam, and I agree to submit to such a physical. I understand that any offer of employment will be conditioned upon my providing satisfactory evidence of my identity and authority to work in the United States, my successfully passing any required medical exam and/or drug and alcohol test, and upon Jordano's satisfactory responses to any reference inquiries. I understand as a matter of Company policy, in the event I am employed, my employment will not be for any specific term - accordingly my employment and compensation can be terminated, with or without cause, and with or without advance notice, at any time at the option of the Company or myself. I understand that no representative of Jordano's (other that a bona fide member of the Human Resources Department) has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, and that any such agreement must be in writing and be signed by a member of the Human Resources Department.
ELECTRONIC SIGNATURE*
I hereby certify that all statements on this application are true and complete to the best of my knowledge.
ELECTRONIC SIGNATURE*
TODAY'S DATE*
Applicant Privacy Notice*
By checking this box you acknowledge that you have clicked on the Privacy Notice link in the job description, and read and understand how Jordano’s treats your privacy and your data.