Lojac�s Sitemap

NAVIGATION

WHAT WE DO

GENERAL INFORMATION

* Last Name:

* First Name:

Middle Name:

Nick Name:

* Street Address:

* City:

* State:

* Zip:

* Email:

* Contact Phone:

Home Phone:

Cell Phone:

If you are hired can you present proof of your legal right to work in the United States?

Yes No

Are you at least 18 years of age?
(If No, hiring may be subject to verification of age and a valid work permit.)

Yes No

Have you been convicted of a felony in the last seven years?

Yes No

(Note: A "Yes" answer will not automatically disqualify you from consideration. You need not disclose any sealed or expunged records of convictions. You are not required to answer this question if you live in or are applying for a position in a state that prohibits asking criminal history questions on the initial application. (Does not apply in the state of Tennessee)
If Yes, explain the details:

Have you ever worked for LoJac, LLC before?

Yes No

If Yes, list dates and supervisor(s):

If required for this position, do you possess a valid driver's license?

Yes No

If Yes, enter State, License # and Class:

POSITION

* Position applied for or type of position desired:

* Available For:

Full Time

Part Time

Temporary Time

On- Call

* Available Shifts:

Days

Swing

Evenings

Rotating

Weekends

* Salary Desired:

Hourly

Monthly

Yearly

If required, can you work overtime?

Yes

Are you willing to travel?

Yes

Restrictions:

How did you hear about this position?:

EDUCATION & TRAINING

Are you a high school graduate?

Yes

If No, have you passed the GED?

Yes

List your College, Business Schools, and Military Training (with most recent first):

Name & Location	# of Years Attended	Major/Area of Study	Degree(s)

If you served in the Armed Services, list your duties and duty stations, special training and rank at discharge:

WORK EXPERIENCE

List your work experience, starting with your most recent employment. (Do NOT enter "see resume".):

Employer

Address

Supervisor(s) Name, Title

May we contact this employer?

Yes

Phone

Eligible for retire?

Yes

Starting Date

Ending Date

Reason for Leaving

Starting Title

Starting Pay Rate

Starting Duties

Ending Title

Ending Pay Rate

Ending Duties

Employer

Address

Supervisor(s) Name, Title

May we contact this employer?

Yes

Phone

Eligible for retire?

Yes

Starting Date

Ending Date

Reason for Leaving

Starting Title

Starting Pay Rate

Starting Duties

Ending Title

Ending Pay Rate

Ending Duties

OTHER SKILLS

List any special training, work-related skills, achievements, equipment certification, occupational licenses, military training, certifications or registrations relevant to this position. If hired, you may be required to submit copies for verification:

PROFESSIONAL REFERENCES

Enter the names and contact numbers of three (3) business/work references of people who are not related to you, or if not applicable you may enter school or personal references of people who are not related to you.

Name	Position/Company/Address	# of Years Known	Contact Number/Email

SIGNATURES

Please read carefully, initial each paragraph and sign below:

* Any misrepresentations, falsifications or material omissions in this application for employment or other required documents may result in exclusion from further employment consideration or, if discovered at any time after my employment, termination of that employment.

* I give LOJAC permission to contact schools, previous employers, references and others and hereby release LOJAC and any party furnishing information from any liability as a result of such contact.

* I agree to complete paperwork necessary to authorize background court record checks, and motor vehicle report if deemed necessary by LOJAC.

* If employed, I must conform to the rules and regulations of LOJAC.

* Nothing contained in this application for employment or in an employment interview is intended to be a contract between LOJAC and me for either employment or employment benefits and if any employment relationship is established, LOJAC or I have the right to terminate my employment at any time.

* I understand that any offer of employment given to me is contingent upon a negative result on a post-offer drug screening. I consent to the post-offer drug test and such future drug tests as may be required.

* Signature:

* Date:

Note: LOJAC will attempt to accommodate scheduling limitations based on religious considerations.