Application Form

J.R. Rentals Employment Application

Name *

First

Last

List any nicknames or aliases *

Address *

Line 1

Line 2

City

State

Zip Code

Country

If Yes please provide data,place, offense, and outcome. *

Education and Training

High School or Equivalent *

City/State *

Graduate? *

Yes No

Vocational or Secondary *

City/State *

Graduate *

Yes No

College or University *

City / State *

Graduate *

Yes No

Employment History

Is it OK to contact past employers? *

Yes No

(Enter Current or most recent employer first)

Last Employer

Company Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Start Date *

Supervisor's Name *

Ending Date *

Reason for Leaving *

Previous Employer

Company Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Start Date *

Supervisor's Name *

Ending Date *

Reason for leaving *

Previous Employer

Company Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Start Date *

Supervisor's Name *

Ending Date *

Reason for leaving *

References

(Please list three references that are not related to you.)

Reference 1 Name *

Reference 2 Name *

Reference 3 Name *

Reference 1 Phone Number *

Reference 2 Phone Number *

Reference 3 Phone Number *

I authorize investigation of all information contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give J.R. Rentals permission to contact schools, previous employers, references, and others, and hereby release J.R.Rentals from any liability as a result of such contact.

I also understand that J.R.Rentals has a drug and alcohol policy that provides for preemployment testing as well as testing after employment. Consent to, and compliance with such policy is a condition of my employment. Continued employment is based on the successful passing of testing under such policy. I further understand that continued employment is based on the successful passing of job-related physical examinations.

I understand that in connection with the routine processing of your employment application, J.R.Rentals may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, J.R.rentals, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with J.R.rentals shall be probationary for a period of sixty (60) days. At any time during the probationary or thereafter, my employment relation with J.R.Rentals is terminable at will, for any reason, by either party.

I have Read and Reviewed the above paragraphs and agree to the terms and conditions there in *

Yes No

By entering the Submit button below I agree to the Terms and Conditions of this document, the same as placing my signature on the Application Document.

Submit

J.R. Rentals serves the central Indiana towns and cities of Acton, Anderson, Arcadia, Atlanta, Avon, Bedford, Beech Grove, Bloomington, Brazil, Brownsburg, Camby, Carmel, Center Grove, Cicero, Coatesville, Columbus, Crawfordsville, Danville, Elwood, Fairland, Fishers, Fortville, Franklin, Geist, Greencastle, Greenfield, Greenwood, Indianapolis, Indy, Jamestown, Kokomo, Lafayette, Lawrence, Lebanon, Lizton, Martinsville, McCordsville, Monrovia, Mooresville, Muncie, Nashville, New Palestine, Noblesville, Oaklandon, Pendleton, Pittsboro, Plainfield, Rockville, Seymour, Shelbyville, Shelbyville, Sheridan, Southport, Spencer, Terre Haute, Thorntown, Tipton, Wanamaker, West Lafayette, Westfield, Whiteland, Whitestown, and Zionsville. The Counties served include Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Montgomery, Morgan, Owen, Putnam, and Shelby. If your area is not listed please contact us at (317) 539-7440 and we will make special arrangements to serve you any way we can.