Personal Information

Welcome to the Bolster & Jeffries Career Advancement Area

To be considered for employment with one of the Bolster and Jeffries facilities please fill out the online application below. Please be sure to fill in each blank with information or n/a if the blank doesn't apply.

Employment Desired



Education
Education Summary
Honors and Experience
Schools Attended
Professional Licenses and/or Certifications
Employment Record

This institution does not discriminate in hiring or any other decision on the basis of race, color, sex, citizenship, national origin, ancestry, Vietnam era veteran status, or on the basis of age or physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination.

By clicking on the "Submit" button below I voluntarily give this institution the right to make thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I consent to take the physical examination, and this institution at such times may require such future physical examinations as and places as the institution shall designate. I understand that an offer of employment may be contingent on passing the physical examination which related to the essential duties I would be required to perform.

I understand that my employment is at will, and that either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on the application form.

If employed, I will be required to complete any employment verification form (i-9), and within three days show satisfactory evidence of identity and eligibility for employment.

Employer 1
Employer 2
Employer 3
Employer 4
Employer 5
Employer 6
Availability Record

Please indicate days and hours you are available to work. Please, be specific.

Further Availability

IF YOUR AVAILABILITY CHANGES, IT IS YOUR RESPONSIBILITY TO FILL IN AN "AVAILABILITY CARD" INDICATING THE CHANGES. SUCH CHANGES WILL BE EFFECTIVE, THEN, FOR ANY FUTURE EMPLOYMENT.

By pressing the "Submit" button below I understand that emergency conditions may require me to temporarily work shifts other than the one for which I am applying and agree to such scheduling change as directed by my department head or administrator of the institution.

FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.


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