Malani Jewelers - Job Application
Field marked with * are compulsory fields
Name & Address
* Name First Name                                 Last Name
 
*Address Street Address

City                                      State           Zip Code
  
*Cell Phone City Code  -  Phone Number
 - 
*Email Address
Alternate Email
Personal Information
*Sex Female    Male
         
*Date of Birth YYYY/MM/DD
*Height      Ft.       Inches
 
*Weight lbs
*Marital Status

Single Engaged Married Divorced Widowed
                      

Children, if any

*Job Nature

Full-Time Parti-Time
            

*Timing Please view our hours of operation and check this box if the hours are suitable to you  
*Driving Do you drive? Yes No  
*Origin Country of Origin

City of Origin
*Languages List all languages you can fluently speak
*Location Pick location of preference
*Position Desired
*Citizenship Are you a US Citizen? Yes No  
Are you authorized to work in US? Yes No  
Do you need us to file your 'H1 Petition'? Yes No  
*Education Highest level of education completed
*Education Details How would your education help you in the workplace?
*Computer Skills
*Experience Years


Business
Experience (1)
*Firm Name
*Address Street Address

City                                      State           Zip Code
  
*Name of Supervisor
*Job Description
*Duration Start Date                    End Date
to
*Position
*Ending Salary
*Reason for leaving
Experience (2)
Firm Name
Address Street Address

City                                      State           Zip Code
  
Name of Supervisor
Job Description
Duration Start Date                    End Date
to
Position
Ending Salary
Reason for leaving
Experience (3)
Firm Name
Address Street Address

City                                      State           Zip Code
  
Name of Supervisor
Job Description
Duration Start Date                    End Date
to
Position
Ending Salary
Reason for leaving
Reference (1)
* Name
*Contact Info
*Relation to applicant
Reference (2)
Name
Contact Info
Relation to applicant
Other
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