Job Opportunities

Promotion Coordinator Application

Personal Information

Last name:

First name:

Middle Initial:

Street Address:

City:

State:

Zip:

Day Phone:

Evening Phone:

May we call you at work?

Cell Phone:

Pager:

Fax:

Other Address:

Is this address...

Dates at this address:

Other phone:

Send checks to present address or other address?

Emergency contact address:

Emergency contact phone:

E-mail:

In what languages are you fluent?		Other language:
How were you referred to J&L?

What college are you attending or have you graduated from?
Graduation date:		Major/minor:

How far would you be willing to drive one-way?

Are you willing to fly?

Work Availability

How many weekends a month will you be able to work?

What hours are you available?	Monday:
	Tuesday:
	Wednesday:
	Thursday:
	Friday:
	Saturday:
	Sunday:

Are there any dates that you are unavailable?

References (please do not include relatives)

Name:		Phone:
Address:		Years Known:
Company and Occupation:

Name:		Phone:
Address:		Years Known:
Company and Occupation:

Authorization and Understanding
Please read below before submitting application.

I certify that the statements made on this document are true to the best of my knowledge. I realize that all the information furnished by me is important, and that J&L Marketing, Inc. will rely on such information in engaging me and in continuing my services. I also realize that this information may be verified by J&L Marketing, and that any misrepresentation of facts may constitute grounds for dismissal.

I understand that this is an independent contractor position, and that, if hired, I will not be an employee of J&L Marketing. J&L Marketing will not withold any taxes. I will be responsible for keeping accurate records for mileages, travel, and lodging expenses, and I will receive a 1099 at the end of the calendar year.

In compliance with federal and state equal employment laws, applicants are considered for employment without regard to race, color, religion, national origin, disability, gender, or age. J&L Marketing, Inc. is an equal opportunity employer.