V-J ELECTRONIC ASSEMBLIES Employment Application APPLICANT INFORMATION Are you a citizen of the United States? YESNO If no, are you authorized to work in the U.S.? YESNO Have you ever worked for this company? YESNO Have you ever been convicted of a felony? YESNO EDUCATION Did you graduate? YESNO Did you graduate? YESNO Did you graduate? YESNO REFERENCES Please list three professional references. PREVIOUS EMPLOYMENT May we contact your previous supervisor for a reference? YESNO May we contact your previous supervisor for a reference? YESNO May we contact your previous supervisor for a reference? YESNO MILITARY SERVICE DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Signature:
