JMA Placement Services

Esign Signature Disclosure. Under the ESIGN Act, an electronic signature is defined as “an electronic sound, symbol, or process attached to or logically associated with a contract or other record and executed or adopted by a person with the intent to sign the record.” In simple terms, electronic signatures are legally recognized as a viable method to indicate agreement to contract. For an electronic signature to be legally binding under the ESIGN Act, it s recommended that all electronic signature workflows include:

Intent to sign.
Similar to ink signatures, a signer must show clear intent to sign an agreement electronically. For example, signers can show intention by using a mouse to draw their signature, typing their name, or click an “Accept” button that is clearly labeled.

Consent to do business electronically.
Most electronic signature laws also require some form of consent to do business electronically. Many enterprise electronic signature solutions ask signers to “click to accept” a standard consent clause or price an option to customize consent clause such as:

The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity enforceability and admissibility.

To ease the application process, please sign your name

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First Name	Middle Name

Last Name	Suffix

Are you at least 18 years of age or older?	Yes No
Are you willing to take a drug screen?	Yes No
Do you have reliable transportation?	Yes No
Do you have a high school diploma or GED?	High School Diploma GED None
If hired, can you submit proof of your legal right to work in the United States?	Yes No
Have you ever been convicted of a felony or misdemeanor?	Yes No
Do you authorize JMA Placement, Inc., to conduct a criminal background check and reference checks?

Phone	State

E-Mail	Date of Birth

Password	Confirm Password