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On-Line Application

It is the policy of Just Brakes to afford equal opportunity to all employees and applicants. Race, color, religion, age, sex, disability, citizenship, marital or veteran status, place of national origin and any other categories protected by law are not factors in employment, promotion, compensation or working conditions. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria. Equal access to programs, services and employment is available to all persons.

General Application Information
Last Name
First Name
Street Address
City
State
Zip Code
Daytime Phone
Other Phone
E-Mail Address
Employment Information
If you are under the age of 18, can you furnish a valid work permit (this is required)
Position Applying for
Full Time (40 or more hours a week) or
Part Time (35 hours or less a week)
City and state you are seeking employment:
Are you able to work overtime?
Date you are able to start working:
Salary desired:
Are you currently employed?
How did you hear about Just Brakes?
Have you ever applied to Just Brakes?
Have you ever been employed by Just Brakes?
Work History
Name of Current Employer:
Supervisor/Contact Name:
Address:
Phone Number:
Position:
Job Description:
Salary:
Employment Dates (From-To):
Reason for Leaving:
May we contact current employer?
 
Past Employer #1:
Supervisor/Contact Name:
Address:
Phone Number:
Position Held:
Job Description:
Salary:
Employment Dates (From-To):
Reason for Leaving:
 
Past Employer #2:
Supervisor/Contact Name:
Address:
Phone Number:
Position Held:
Job Description:
Salary:
Employment Dates (From-To):
Reason for Leaving:
Additional Experience
List any additional skills, qualifications, certifications or experience you believe should be considered in evaluating your qualifications for employment.

Notification and Agreement

I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED.

This application will be given every consideration, but its receipt does not imply that the applicant will be employed.

I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.

If hired, I agree to abide by all of the company rules and regulations, and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the company or me, I further understand that no representation, whether oral or written by any representative or agent of the Company, at any time, can constitute a contract of employment. I understand that the Company and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the company, has the authority to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the President or Vice President of Human Resources, or to make any agreement contrary to the foregoing.

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.