Job Placement Services Application
______________________________________________________ __________________________
Last First MI Date
______________________________________________________________________________________
Street Address City State Zip
___________________________________ ____________________________________________
Cell Phone Number Personal E-mail Address
Are you a graduate of Jackson State Community College? Yes No If yes, what year?________________
If no, which applies to you? Freshman Sophomore Former Student/Did not graduate
Expected Graduaon Date:________________________ Major:_______________________________________
Please list any degrees or cercates earned at other colleges/technical schools:
______________________________________________________________________________________
What type of job are you looking for? Full-Time Only Part-Time Only Both Full-Time or Part-Time Temporary
Please check the job categories that you are interested in applying for:
Please list the hours that you are available to work:
In what geographic area of West Tennessee do you want to work?________________________________
Are you looking for a job outside of West Tennessee? Yes No If yes, where?__________________________
What type of salary / hourly wage are you requesng?________________________________________
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Placement and Career Services
Walter L. Nelms Classroom Building
Room 120
731.424.3520 x50315
Accounng Customer Service Representave Internship
Administrave Assistant / Clerical Educaon Management
Cashier Retail Engineering / Industrial Technology Producon / Management
Child Care Food Service / Restaurant Sales / Markeng
CIS / Informaon Technology Healthcare Social Work
Please list any current Professional Cercaons /Licenses you have.
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Have you ever worked before? Yes No If yes, please list your last three jobs starng with the most recent.
Company:_________________________________________________ Job Title: _____________________________
Responsibilies:___________________________________________________________________________________
From: _______________To: _______________ Reason For Leaving:________________________________________
Company:_________________________________________________ Job Title: _____________________________
Responsibilies:___________________________________________________________________________________
From: _______________To: _______________ Reason For Leaving:________________________________________
Company:_________________________________________________ Job Title: _____________________________
Responsibilies:___________________________________________________________________________________
From: _______________To: _______________ Reason For Leaving:________________________________________
Do you have a current resume? Yes No
If yes, have you submied a copy to JSCC Placement and Career Services? Yes No
Does JSCC Placement and Career Services have permission to send your resume to potenal employers? Yes No
Do you need assistance with any of the following areas? Please check all that apply.
Jackson State Community College Placement and Career Services serves only as a referral source to assist students and alumni with o-
campus job searches. JSCC Placement and Career Services makes no representaons, warranes, or guarantees about the employers and
their job lisngs. All hiring, scheduling, and compensaon for work performed by the individual is handled directly between the applicant
and the employer. Jackson State Community College as well as the Placement and Career Services sta assumes no liability for any acts or
omissions by employers.
Signature_________________________________________________________ Date _____________________
Resume Wring Interviewing Skills Thank you for Interview Leers Compleng Job Applicaons
Cover Leers Dressing for Success Job Search Strategies
Jackson State Community College does not discriminate against students, employees, or applicants for admission or employment on the basis of race, color, religion, naonal origin, sex, sexual orientaon, gender identy/expression,
disability, age, status as a protected veteran, genec informaon, or any other legal protected class with respect to all employment programs and acvies sponsored by Jackson State Community College. The following person has
been designated to handle inquiries regarding non-discriminaon policies: HR@jscc.edu, 2046 N. Parkway, Jackson, TN 38301 (731) 424-3520. JP18-7299
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