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Employment Form

Equal Opportunity Employer - Oklahoma State Human Rights Law and Federal Equal Opportunity Law prohibits discrimination because of Race, Creed, Color, National Origin, Sex, Marital Status, Age, Disability, Veterans or Arrest Record.

Step 1 of 5 - Personal Data

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Personal Data
Date
MM slash DD slash YYYY
Name*
First Middle Last
Present Address*
Street Address City State Zip Code
Is your present address also your permanent address?*
Permanent Address*
Street Address City State Zip code
Phone #*
Alternate Phone #
Email*
If not a citizen, do you have legal right to work in the U.S.?*
- Yes
- No
Are you under the age of 18?*
- Yes
- No
Do you have a current drivers license?*
- Yes
- No
Drivers License State Issued*
License #*
Do you have any relatives/friends working for J&J?*
- Yes
- No
Names of Friends or Relatives working for J&J*
Have you ever been convicted of/or pled guilty to, or no contest to, any offense other than a minor traffic violation?*
- Yes
- No
Please explain:*

Job Preference
Position Applying For:*

You can add up to two positions. Hit the plus button to add an additional position.
Salary/Wage Expected*
Type of employment desired*
- Full-Time
- Part-Time
- Seasonal (list dates below)
Seasonal Employment Date Range*
Are you willing to work hours at any time?*
- Yes
- No
Specify hours desired*
- Day
- Afternoon
- Evening
Willing to work weekends and/or holidays?*
- Yes
- No
When will you be available to work?*
Have you ever worked for J&J?*
- Yes
- No
When did you work for J&J?*
How did you learn of the position you are applying for?*
- Newpaper
- Walk-in
- Relative
- Friend

Education and Training
Please check those that apply*
- High/prep School
- College/University
- Vo-tech/Business School
- Other
High/Prep School
Name of School*
City*
State*
Dates Attended*
To*
# of Years Attended*
- One
- Two
- Three
- Four
Graduated?*
- Yes
- No
College/University
Name of School*
City*
State*
Dates Attended*
To*
# of Years Attended*
- One
- Two
- Three
- Four
Graduated?*
- Yes
- No
Degree(s)
Vo-Tech/Business School
Name of School*
City*
State*
Dates Attended*
To*
# of Years Attended*
- One
- Two
- Three
- Four
Graduated?
- Yes
- No
Degree(s)
Other Education or Training
Name of School*
City*
State*
Dates Attended*
To*
# of Years Attended*
- One
- Two
- Three
- Four
Graduated?*
- Yes
- No
Degree(s)
Additional Education and Training Questions
Are you currently attending school?*
- Yes
- No
When do you attend?*
Do you plan on returning to school?*
- Yes
- No
When do you plan to return to school?*
Do you read or speak a foreign language?*
- Yes
- No
What language(s)*
Have you ever served in the military?*
- Yes
- No
What branch?*
Office Experience and Skills
Typing wpm:
Shorthand wpm:
List the office equipment that you are experienced or familiar with:*
List computer software that you are experienced or familiar with:*
List any special training or experience you have had:
List trade or professional organizations of which you are a member (omit ethnic or religious groups)

As a condition of your employment, you may be required to submit to a drug test or medical examination, I authorize investigation of all statements contained in the application. I understand that misrepresentation or omission of the facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice. Additionally, I understand that my eligibility to legally work in the United States must be verified at time of employment
Date
MM slash DD slash YYYY
Signature*

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