The Kriete Group Application
for Employment |
Instructions: It is the policy of the
company to provide equal opportunity with regard to all terms and conditions of
employment. The company complies
with federal and state laws prohibiting discrimination on the basis of race, or
any other protected characteristic.
Name:_________________________________________________________
For Office Use Only
Applicant #_______________ Employee
#_______________ Hire
Date________________ Position
_________________ Rate
____________________ Class
___________________ Skill
____________________ Other
___________________ Notes
___________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ Attachments
Resume Applicant Reference
Check Applicant
Interview Payroll Change
Notice Employee Data
Card |
Phone:
(____)__________________
Address:
______________________________________________________
City/State/Zip:
__________________________________________________
Position applying
for:_____________________________________________
Shift preferred: 1st 2nd
3rd
Any
Expected
pay:___________________________________________________
Would you accept
full-time work?
Yes No
Would you accept
part-time work?
Yes No
On what date would you
be available for work?_________________________
Have you ever been
employed here before? Yes
No Dates_______
Special training or
skills:
(Skills, Talents etc.
that would be of benefit in the job for which you are
applying.)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Are you legally eligible
for employment in the United States?
If yes proof is
required.
Employment
Experience |
Place a
circle around the employer(s) you do not want us to
contact. List your most recent
employer first.
1. Employer
___________________________________________________________________________________
Address
___________________________________________________________________________________
_____________________________________________________________
Phone __________________________
Job
Title______________________________________________________
Supervisor_______________________
Employed from:
(mm/yy)___________ To (mm/yy)______________ Hr. rate/Sal:
Start_________End__________
Reason for Leaving
_____________________________________________________________________________
2. Employer
___________________________________________________________________________________
Address
___________________________________________________________________________________
_____________________________________________________________
Phone __________________________
Job
Title______________________________________________________
Supervisor_______________________
Employed from:
(mm/yy)___________ To (mm/yy)______________ Hr. rate/Sal:
Start_________End__________
Reason for Leaving
_____________________________________________________________________________
3. Employer
___________________________________________________________________________________
Address
____________________________________________________________________________________
___________________________________________________________Phone
_____________________________
Job
Title______________________________________________________
Supervisor_______________________
Employed from:
(mm/yy)___________ To (mm/yy)______________ Hr. rate/Sal:
Start_________End__________
Reason for Leaving
_____________________________________________________________________________
4. Employer
___________________________________________________________________________________
Address
____________________________________________________________________________________
____________________________________________________________Phone
____________________________
Job
Title______________________________________________________
Supervisor_______________________
Employed from:
(mm/yy)___________ To (mm/yy)______________ Hr. rate/Sal:
Start_________End__________
Reason for Leaving
_____________________________________________________________________________
Education
Background |
Grammer
School:
Name of School
________________________________ Location
______________________________________
Course of Study
_____________________Graduate? Yes
No Degree or
Diploma:_________________
High
School:
Name of School
________________________________ Location
______________________________________
Course of Study
_____________________Graduate? Yes
No Degree or
Diploma:_________________
College
School:
Name of School
________________________________ Location
______________________________________
Course of Study
_____________________Graduate? Yes
No Degree or
Diploma:_________________
Graduate
School:
Name of School
________________________________ Location
______________________________________
Course of Study
_____________________Graduate? Yes
No Degree or
Diploma:_________________
Vocational or Technical
School:
Name of School
________________________________ Location
______________________________________
Course of Study
_____________________Graduate? Yes
No Degree or
Diploma:_________________
______________________________________________________________________
______________________________________________________________________
I CERTIFY THAT
ALL THE INFORMATION SUBMITTED BY MYSELF ON THIS APLICATIONIS TRUE AND COMPLETE,
AND I UNDERSTAND THAT IF ANY FALSE ORMISLEADING INFORMATION, OMMISSIONS, OR
MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED, AND IF I AM
EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.
IN
CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY’S RULES AND
REGULATIONS. I ALSO UNDERSTAND THAT THESE RULES AND OR THE EMPLOYEE HANDBOOK DO
NOT FORM A CONTRACT OF EMPLOYMENT EITHER EXPRESSED OR IMPLIED, AND I AGREE THT
MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND
WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THT NO COMPANY
REPRESENTATIVE, OTHER THAN IT’S PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY
AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY
AGREEMENT CONTRARY TO THE FOREGOING.
Applicant’s
Signature________________________________________________ Date
_______________________