Employment Application

Thank you for taking the time to Jump In & Join Us at JIM Enterprises Inc. Please complete all sections of the Employment Application.
There will be a final opportunity to review your information for accuracy before submitting.

  • Step

  • Step

  • Step

  • Step

  • Step

  • Step

Personal Information

First Name*
Last Name*

Address

Street Address*
City*
State*
Zip Code*
Cell Phone*
Daytime Phone
Primary Email Address*
Secondary Email Address
Driver's License#
Driver License State
Driver's License Expiration Date

Are you bilingual?

  • If yes, please list language(s)*

    Preferences

    Instructional Programs - Please select the program(s) of interest.*

    Employment Position - Please select the position(s) of interest.*

    Other*
    District*
    School*

    Employment Records

    Current Employer

    Employer
    Position
    Supervisor Name
    Phone

    Address

    Street Address
    City
    State
    Zip Code
    How long have you been employed?

    May we contact?

  • Previous Employer

    Employer
    Position
    Supervisor Name
    Phone

    Address

    Street Address
    City
    State
    Zip Code
    How long have you been employed?

    May we contact?

  • Reason for leaving

    Training, Credentials, Education and References

    Educational Training Background – Please list any specialized educational training , certificates and/ or completed courses.
    College or University Attended (name)

    Do you hold a valid California Teaching Credential?

  • Issue Date*
    Expiration Date*
    Expiration Date of most recent TB clearance

    Have you ever been convicted of a felony?

  • If yes, Please explain below

    Degree

  • References

    References 1

    Name
    Phone Number
    Address

    References 2

    Name
    Phone Number
    Address

    Personal Information

    First Name*

    ##first_name##

    Last Name*

    ##last_name##

    Address

    Street Address*

    ##streetaddress##

    City*

    ##city##

    State*

    ##state##

    Zip Code*

    ##zipcode##

    Cell Phone*

    ##cellphone##

    Daytime Phone

    ##phone##

    Primary Email Address*

    ##email##

    Secondary Email Address

    ##secondary_email##

    Driver's License#

    ##license##

    Driver License State

    ##driver_license_state##

    Driver's License Expiration Date

    ##expiration_date##

    Are you bilingual?

    ##is_bilingual##

    If yes, please list language(s) ##language##

    Preferences

    Instructional Programs - Please select the program(s) of interest. ##instruction_programs##
    Employment Position - Please select the position(s) of interest. ##employment_position##
    District

    ##preference_other##

    District

    ##preference_district##

    School

    ##preference_school##

    Employment History

    Employer

    ##current_employer##

    Position

    ##current_position##

    Supervisor Name

    ##current_supervisor_name##

    Phone

    ##current_phone##

    Address

    Street Address ##current_street_address##
    City ##current_city##
    State ##current_state##
    Zip Code ##current_zip_code##
    How long have you been employed? ##current_been_employed##
    May We contact? ##current_can_contact##

    Previous Employer

    Employer

    ##previous_employer##

    Position

    ##previous_position##

    Supervisor Name

    ##previous_supervisor_name##

    Phone

    ##previous_phone##

    Address

    Street Address ##previous_street_address##
    City ##previous_city##
    State ##previous_state##
    Zip Code ##previous_zip_code##
    How long have you been employed? ##previous_been_employed##
    May We contact? ##previous_can_contact##
    Reason for leaving? ##previous_leaving_reason##

    Training, Credentials, Education and References

    Educational Training Background – Please list any specialized educational training , certificates and/ or completed courses. ##education##
    Do you hold a valid California Teaching Credential? ##teaching_credential##
    Issue Date ##education_issue_date##
    Expiration Date ##education_expiration_date##
    College or University Attended (name and address) ##college_attended##
    Degree -
    Expiration Date of most recent TB clearance ##tb_clearance_date##
    Have you ever been convicted of a felony? ##is_felony##
    If yes, please explain below ##is_felony_reason##

    Reference 1

    Name ##reference1_name##
    Phone Number ##reference1_phn_no##
    Address ##reference1_address##

    Reference 2

    Name ##reference2_name##
    Phone Number ##reference2_phn_no##
    Address ##reference2_address##

    Terms & Conditions

    Name
    Date
    Previous
    back_arrow