<% if request.cookies("mobileBypass") = "" then Dim user_agent, mobile_browser, Regex, match, mobile_agents, mobile_ua, i, size user_agent = Request.ServerVariables("HTTP_USER_AGENT") mobile_browser = 0 Set Regex = New RegExp With Regex .Pattern = "(up.browser|up.link|mmp|symbian|smartphone|midp|wap|phone|windows ce|pda|mobile|mini|palm)" .IgnoreCase = True .Global = True End With match = Regex.Test(user_agent) If match Then mobile_browser = mobile_browser+1 If InStr(Request.ServerVariables("HTTP_ACCEPT"), "application/vnd.wap.xhtml+xml") Or Not IsEmpty(Request.ServerVariables("HTTP_X_PROFILE")) Or Not IsEmpty(Request.ServerVariables("HTTP_PROFILE")) Then mobile_browser = mobile_browser+1 end If mobile_agents = Array("w3c ", "acs-", "alav", "alca", "amoi", "audi", "avan", "benq", "bird", "blac", "blaz", "brew", "cell", "cldc", "cmd-", "dang", "doco", "eric", "hipt", "inno", "ipaq", "java", "jigs", "kddi", "keji", "leno", "lg-c", "lg-d", "lg-g", "lge-", "maui", "maxo", "midp", "mits", "mmef", "mobi", "mot-", "moto", "mwbp", "nec-", "newt", "noki", "oper", "palm", "pana", "pant", "phil", "play", "port", "prox", "qwap", "sage", "sams", "sany", "sch-", "sec-", "send", "seri", "sgh-", "shar", "sie-", "siem", "smal", "smar", "sony", "sph-", "symb", "t-mo", "teli", "tim-", "tosh", "tsm-", "upg1", "upsi", "vk-v", "voda", "wap-", "wapa", "wapi", "wapp", "wapr", "webc", "winw", "winw", "xda", "xda-") size = Ubound(mobile_agents) mobile_ua = LCase(Left(user_agent, 4)) For i=0 To size If mobile_agents(i) = mobile_ua Then mobile_browser = mobile_browser+1 Exit For End If Next If mobile_browser>0 Then Response.Redirect("http://www.jbzimmerman.com/mobile") End If end if %> J.B. Zimmerman & Sons, Inc. :: Application for Employment

Application for Employment

We are an Equal Opportunity Employer.

PERSONAL INFORMATION:
Name (First, Middle, Last):
Social Security Number:
Street:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
Email:

Have you ever applied for employment with us?	Yes	No
Are you legally eligible for employment in the United States?	Yes	No
Are you 18 years of age or older?	Yes	No

EMPLOYMENT DESIRED:
Position for which you are applying:
Specific Available Hours:
Salary Required:
Date you can start:
Are you available to work overtime?	Yes No
Have you ever worked for JB Zimmerman?	Yes * No
* If yes, when?:
Apart from absence for religious observance, are you available for full-time work?	Yes No *
* If not, what hours can you work?:

EDUCATION:
Elementary:
Name of School
Location of School
# of Years Attended
Did you Graduate	Yes No
Subjects Studied/Degrees Received
High School:
Name of School
Location of School
# of Years Attended
Did you Graduate	Yes No
Subjects Studied/Degrees Received
Trade, Business, Technical School
Name of School
Location of School
# of Years Attended
Did you Graduate	Yes No
Subjects Studied/Degrees Received
College
Name of School
Location of School
# of Years Attended
Did you Graduate	Yes No
Subjects Studied/Degrees Received
Graduate
Name of School
Location of School
# of Years Attended
Did you Graduate	Yes No
Subjects Studied/Degrees Received

EMPLOYMENT HISTORY:
Please List your last 3 employers, starting with the most recent:
Most Recent Employer
Name of Employer:
Address:
Dates of Employment:	From to
Salary/Wage:
Position:
Reason for Leaving:
Duties Performed:
Supervisor's Name and Phone Number:
May We Contact?	Yes No
Previous Employer
Name of Employer:
Address:
Dates of Employment:	From to
Salary/Wage:
Position:
Reason for Leaving:
Duties Performed:
Supervisor's Name and Phone Number:
May We Contact?	Yes No
Previous Employer
Name of Employer:
Address:
Dates of Employment:	From to
Salary/Wage:
Position:
Reason for Leaving:
Duties Performed:
Supervisor's Name and Phone Number:
May We Contact?	Yes No

J.B. Zimmerman & Sons, Inc.:

Box 337
Blue Ball, PA 17506

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decide to engage an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.

Name/Signature: Date: