1Contact Info.2Questionnaire3Employment History4Education5Terms Contact InformationNOTICE: Stellar J. Corporation is an Equal Opportunity Employer. If you need accommodations or assistance with any part of the application process please call 360-225-7996 and ask to speak with HR.Specific Position Applied for:(Required) Today’s Date:(Required) Month Day Year APPLICANTS: In order to be considered for employment, this application must be completed entirely.Full Name(Required) First Middle Last Complete Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip/ Postal Code Email Address(Required) Primary Phone(Required)Secondary PhoneHow did you hear about us?Walk-inReferralOtherReferred by QuestionnaireWhy are you interested in this particular job?(Required)What skills and training qualify you for this position?(Required)What portions of your work experience qualify you for this job?(Required) Employment HistoryThis section must be completed entirely. Do not substitute a resume. List all work experience, paid, or unpaid, beginning with your current or most recent job. Include military experience as well as volunteer jobs that you wish to have considered as part of your qualifications for the position you are seeking. Describe each job separately, emphasizing your specific tasks and any supervisory, technical or other responsibilities. Explain all breaks in continuous employment. If more space is needed, additional paper may be added.Present or Last PositionEmployer(Required) Address(Required) Your Title(Required) Employment Type(Required)Full TimePart TimeHrs./Week (if varied, indicate average)(Required)From(Required) Month Day Year To(Required) Month Day Year Supervisor’s Name(Required) Supervisor’s Telephone Number(Required)May we contact this employer?(Required) Yes No Duties/Responsibilities (be specific)(Required)Reason for leaving or for considering a change(Required)Additional Work HistoryEmployer Address Your Title Employment TypeFull TimePart TimeHrs./Week (if varied, indicate average)From Month Day Year To Month Day Year Supervisor’s Name Supervisor’s Telephone NumberMay we contact this employer? Yes No Duties/Responsibilities (be specific)Reason for leaving or for considering a changeAdditional Work HistoryEmployer Address Your Title Employment TypeFull TimePart TimeHrs./Week (if varied, indicate average)From Month Day Year To Month Day Year Supervisor’s Name Supervisor’s Telephone NumberMay we contact this employer? Yes No Duties/Responsibilities (be specific)Reason for leaving or for considering a changePlease include ALL other positions you have held in the past ten years, beyond the three most recent ones. Attach additional sheets if necessary.Employer Address Your Title From Month Day Year To Month Day Year Reason for leavingEmployer Address Your Title From Month Day Year To Month Day Year Reason for leavingEmployer Address Your Title From Month Day Year To Month Day Year Reason for leavingResume Drop files here or Select files Max. file size: 220 MB, Max. files: 3. EducationHigh SchoolSchool Name(Required) School Address(Required) Course of Study Years Completed(Required)Diploma/Degree Under Graduate CollegeSchool Name School Address Course of Study Years CompletedDiploma/Degree Graduate ProfessionalSchool Name School Address Course of Study Years CompletedDiploma/Degree Vocational or Other TrainingSchool Name School Address Course of Study Years CompletedN/A4321Diploma/Degree Additional InformationProfessional and Trade Licenses Professional Memberships and Affiliations Have you ever been employed by this company before?(Required) Yes No When and in what job?(Required) Application TermsPlease read the following carefully before signing this application.Consent(Required) I have read and agree to the terms below. Stellar J. Corporation is an equal opportunity employer and does not discriminate on the basis of gender, age, race and color, religion, marital status, national origin, disability or veteran status. Interviews are given on a competitive basis, using job-related factors, after a written application has been reviewed. Because of the large number of applicants received, not everyone who applies for a vacant position will be interviewed. I understand that, if selected, I will be required to provide proof of my identity and my legal right to work in the United States prior to actual employment with Stellar J. Corporation. I certify that I have answered truthfully and have not knowingly withheld any information relative to my application. I understand that misrepresentation or material omission on this application will result in my being eliminated from further consideration. I further understand that, if accepted for employment, any misrepresentation or material omission which becomes known to Stellar J. Corporation, will result in immediate termination of my employment.Your Signature(Required)EmailThis field is for validation purposes and should be left unchanged.
