Step 1 of 4 25% Personal InformationFirst Name* Middle Name Last Name* Address* Street Address 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 Code Home PhoneCell PhoneEmail Address Are you legally authorized to work in the United States?* Yes No Preferred Job Type* Full Time Part Time Temp What shifts will you work?* Days Nights Evenings OK to contact present employer?* Yes No Are you a veteran?* Yes No If you want to create an employment web page, choose "yes" below:* Yes No Employment Web Page details are found here (this link will open in a new tab).Are you registered in Work-in-Texas?* Yes No Please click the button below to register(the form will open in a new tab) Register Education / TrainingHave you obtained a high school diploma or GED?* Yes No High School Name and Location Have you attended a college or university? Yes No College or universitySchool Name and Location Specialization Diploma / Degree Need to list more schools? Yes No Second college or universitySchool Name and Location Specialization Diploma / Degree Need to list more schools? Yes No Third college or universitySchool Name and Location Specialization Diploma / Degree Need to list more schools? Yes No Fourth college or universitySchool Name and Location Specialization Diploma / Degree Need to list more schools? Yes No Fifth college or universitySchool Name and Location Specialization Diploma / Degree Other Qualifications, Courses and AchievementsPlease list any special activities, achievements, certificates, licenses or training courses Other specific skills you have to offer Job InformationWhat are your top three job preferences?First Preference* Second Preference Third Preference Do you have a resume?* Yes No Typing Speed Equipment /Machinery Skills Computer 10-key calculator Copier Fax Machine Scanner Multi-line phone Recording equipment Video equipment Forklift Scissorlift Welding equipment Hand tools Drilling equipment Construction equip Electrical tools Automotive tools Other Computer Software Skills Microsoft Word Microsoft Excel PowerPoint Outlook Adobe Illustrator Adobe Photoshop Filemaker Pro Lotus Pages Indesign Canvas Quark Hand Tools Quicken QuickBooks Print Shop Other Please provide the extra information requested below:Other Equipment* Other Software* On what days of the week are you able to work?* How far are you willing to drive to work?* Are you bondable? Yes No The following questions are intended to help us better understand your situation, in order for CJX to make a good fit with an employer.Do you have reliable day care?* Yes No I have no children who require day care. Do you have back-up day care?* Yes No Do you have reliable transportation?* Yes No Do you have any health issues?* Yes No Please Explain* Do you have any handicap, conditions or limitations on your physical ability to work?* Yes No Please Explain* Do you have a misdemeaner?* Yes No How many years ago?* Do you have a felony?* Yes No How many years ago?* Are you on probation?* Yes No How many years are left?* Can you pass a drug test?* Yes No When was the last time you used?* Sign this screening profile by checking the box below* I certify that the answers I have provided are true and correct.
