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Application for Employment
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Application for Employment
Application for Employment
garza
2019-03-19T13:57:43-04:00
Thank you for your interest in working for Key Independent Development Services. Please complete the form below and submit to us. We look forward to speaking with you!
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Name
*
First
Last
Present Mailing Address
*
How Many Years at This Address?
Telephone Number (no dashes!)
*
Email
*
Date of Birth
*
Do you plan to work full time (35+ hours weekly)?
Yes
No
Already Employed?
Yes
No
Job(s) Applied For
*
How did you learn of our opening?
*
Have you worked for us before?
Yes
No
List any friends or relatives working for us:
On what date will you be able to start work (mm/dd/yy)?
*
Other significant experiences, skills, qualifications, or honors received:
*
If hired, do you have a reliable means of transportation to get to work?
Yes
No
Have you ever been discharged or requested to resign from a position?
Yes
No
If Yes, please explain
Do you have any barrier crimes that may prevent you from working within our company?
Yes
No
If yes, please explain
Name of person to be notified in case of emergency
*
Phone Number
Address
Relationship
EDUCATIONAL BACKGROUND
High School Name and Address
High School Dates of Attendance (mm/dd/yy) From - To
Graduated
Yes
No
Diploma or Degree
College Name and Address
College Dates of Attendance (mm/dd/yy) From - To
Graduated
Yes
No
Diploma or Degree
Post Graduate Name and Address
Post Graduate Dates of Attendance (mm/dd/yy) From - To
Graduated
Yes
No
Diploma or Degree
Business or Trade Name and Address
Business or Trade Dates of Attendance (mm/dd/yy) From - To
Graduated
Yes
No
Diploma or Degree
Other Education Name and Address
Other Education Dates of Attendance (mm/dd/yy) From - To
Graduated
Yes
No
Diploma or Degree
PRIOR WORK HISTORY (LIST IN ORDER, LAST OR PRESENT EMPLOYER FIRST)
Dates (mm/dd/yy) From - To (most recent)
*
Name and Address of Employer (most recent)
*
Rate of Pay - Start to Finish (most recent)
*
Supervisors Name and Title (most recent)
*
Dates (mm/dd/yy) From - To
*
Describe in detail the work performed (most recent):
*
Reason for Leaving (most recent)
*
Name and Address of Employer #2
Rate of Pay - Start to Finish #2
Supervisors Name and Title #2
Reason for Leaving #2
Describe in detail the work performed #2:
Dates #3 (mm/dd/yy) From - To
Name and Address of Employer #3
Rate of Pay - Start to Finish #3
Supervisors Name and Title #3
Reason for Leaving #3
Describe in detail the work performed #3:
Dates #4 (mm/dd/yy) From - To
Name and Address of Employer #4
Rate of Pay - Start to Finish #4
Supervisors Name and Title #4
Reason for Leaving #4
Describe in detail the work performed #4:
May we contact the employers listed above?
Yes
No
If not. indicate below which one(s) you do not wish us to contact
PERSONAL REFERENCES
(Please provide two to three business references including an email address and phone number for the contact. Current employees and/or relatives are not eligible.)
Name of Business Reference #1
Occupation of Reference #1
Email Address #1
Phone Number #1
Occupation of Reference #2
Name of Business Reference #2
Email Address #2
Phone Number #2
Name of Business Reference #3
Occupation of Reference #3
Email Address #3
Phone Number #3
MILITARY SERVICE RECORD
Have you ever served in the armed forces?
Yes
No
If yes, what branch?
Date of duty (mm/dd/yy) From - To
Rank at discharge
What were your duties in the service (including special training and duty station)?
Additional Background Information
Occasionally, the form of an application blank makes it difficult for an individual to adequately summarize his complete background. To assist us in finding the proper position for you in our schools, use the space below to summarize any additional information necessary to describe your full qualifications.
PLEASE READ CAREFULLY: APPLICANT'S CERTIFICATION AND AGREEMENT
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal.
Date
*
Applicant's Initials
*
Phone
Submit
