We request the following information to help us make the best possible placement. You should complete all portions of this

application that pertain to you. All information given will be held in strict confidence. Please make sure you fill out all the questions.

JCLS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and

harassment of any type without regard to race, color, religion, age, sex, national origin, marital status, disability status, genetics,

protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or

local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement,

promotion, termination, layoff, transfer, leaves of absence, compensation and training.

NOTE: IF HIRED, THIS APPLICATION WILL BECOME PART OF YOUR PERMANENT PERSONNEL FILE. YOUR APPLICATION MAY NOT BE CONSIDERED IF INCOMPLETE OR SUBMITTED PAST AN ESTABLISHED DEADLINE. THIS APPLICATION, IN COMBINATION WITH YOUR RESUME WILL HELP THE HUMAN RESOURCES DEPARTMENT ENSURE YOU MEET MINIMUM QUALIFICATIONS FOR THE POSITION WHICH YOU ARE APPLYING FOR.