JLK Events Lighting Application

Name

First Last

Address

Street Address City State ZIP Code

Phone

Email

Do you have a current drivers license?

Do you own a reliable vehicle?

Do you have any conflicts or problems with working weekends?

Educational Background

Where did you attend high school and what year did you graduate?*

Did you attend college?

Where did you attend college and what year did you graduate?

Please list company name and dates of employment.

Reference #1

Phone

Reference #2

Phone

Reference #3

Phone

Have you ever been convicted of a felony?

Have you ever had your drivers license revoked or suspended?

What are your salary requirements?*

Type your name and today's date to certify that all of the above in formation is accurate, please.

Comments

This field is for validation purposes and should be left unchanged.