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Applicant Screening Profile

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Personal Information
First Name*
Middle Name
Last Name*
Address*
Street Address City State ZIP Code
Home Phone
Cell Phone
Email 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 / Training
Have 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 university
School Name and Location
Specialization
Diploma / Degree
Need to list more schools?
- Yes
- No
Second college or university
School Name and Location
Specialization
Diploma / Degree
Need to list more schools?
- Yes
- No
Third college or university
School Name and Location
Specialization
Diploma / Degree
Need to list more schools?
- Yes
- No
Fourth college or university
School Name and Location
Specialization
Diploma / Degree
Need to list more schools?
- Yes
- No
Fifth college or university
School Name and Location
Specialization
Diploma / Degree
Other Qualifications, Courses and Achievements
Please list any special activities, achievements, certificates, licenses or training courses
Other specific skills you have to offer

Job Information
What 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.

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