DEMO - JobGrok Premium ยป Submitted Application

This is the submitted application menu item. Generally, this menu item view would not be used other than, perhaps, to display a sample of what data is submitted. This is also the view displayed after an applicant has submitted their information.

PDF and Print output is also available via the links in the upper right corner of the submitted application view.


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jg listing h16
jg application h16
The following credentials work on the main site and admin site.   jg board h16 The following credentials are needed to view the JobSeeker and Employer interfaces. Use "demouser" for admin site.
Username: demouser
Password: demouser
  Username: jobseeker
Password: jobseeker
Username: employer
Password: employer

Personal Information
Current Address
Prior Address
Prior Address
High School
Undergrad School
Grad School
Other School
Employment Information
Please answer all of the following questions.
Are you at least 18 years of age and legally eligible to work for our company in the United States? No
Have you worked for this business before? No
If yes, please provide dates and locations. 
Have you received a description of the job or been made aware of the essential functions of the job for which you are applying? No
Do you understand the job requirements? No
If no, please explain. 
Are you on layoff and subject to recall? No
Are you currently bound by a noncompetition, confidentiality or trade secret agreement? No
If yes, please explain... 
Have you ever been discharged or asked to resign from a job? No
If yes, please explain... 
Have you ever been convicted of or pled guilty to a felony or crime other than a minor traffic citation? No
If yes, please explain... 
Most Recent Employer
Prior Employer
Prior Employer
Prior Employer
Job-related Skills
Do you have a valid driver's license? No
If yes, Driver's License Number 
Date of Issue 
Have you been convicted of or pled guilty to any traffic-related offense within the past five years? No
If yes, please explain... 
Have you had your driver's license suspended or revoked or had your driving privileges modified by a court of law? No
If yes, please explain... 
Please list all states from which you hold or held a driver's license 
Professional Designations:
Resume (Text Version)

Applicant Certification Agreement
The company and other persons or employers are released from all liability brought forth by any investigation resulting from my submission of this electronic application and the data contained here in.
The information in this application is true and complete to the best of my knowledge. Any falsification, misrepresentation, or omission on this application can be cause for denial or termination of employment.
If hired, my employment is voluntary, meaning that either party can employment at any time for any reason. Upon acceptance of employment if a position is offered, I agree to abide by all existing and future company rules and regulations. The company reserves the right to change any working agreement as deemed necessary.
Any employment offer is contingent open my providing proof of identity and eligibility to work the country of employ.
I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding contract.