Job Application

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Education

All fields with an * are required

Check highest grade completed*123456789101112

If you did not complete high school, do you have a high school equivalency diploma?YesNo

Check the number of years of post high school education*01234567

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High school

All fields with an * are required

Name & Location of High school

Did you Graduate

Certificate or Degree

Major or Specialty

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Trade school or College

All fields with an * are required

Name & Location of Trade school or College

Did you Graduate

Certificate or Degree

Major or Specialty

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Trade school or College

All fields with an * are required

Name & Location of Trade school or College

Did you Graduate

Certificate or Degree

Major or Specialty

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Trade school or College

All fields with an * are required

Name & Location of Trade school or College

Did you Graduate

Certificate or Degree

Major or Specialty

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All fields with an * are required

Experience

Starting with the most recent, describe ALL paid, military and applicable voluntary experience during the past seven years. You may list significantly different jobs within the same organization as separate items.

May we contact your current supervisor*YesNo

If “no”, indicate why not

Job Title*

Employer*

Address *

Phone *

Immediate Supervisor *

Number of employees you supervised *

Equipment used *

Reason for leaving *

Your name if different from present *

Duties *

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Experience

All fields with an * are required

Job Title*

Employer *

Address*

Phone*

Immediate Supervisor*

Number of employees you supervised*

Equipment used*

Reason for leaving*

Your name if different from present*

Duties*

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Experience

All fields with an * are required

Job Title*

Employer*

Address*

Phone*

Immediate Supervisor*

Number of employees you supervised*

Equipment used*

Reason for leaving*

Your name if different from present*

Duties*

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Additional Experience

Use this space for any additional information you think might help us evaluate your application, including licensing, training, seminars, workshops, and special achievements or specialized skills.

All fields with an * are required

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Driver’s License

All fields with an * are required

License no.*

State*

Expiration date:*
What kind of Driver's License do you have?
Operator

Commercial

# of accidents in the past 3 years:*

# of moving violations in the past 3 years:*

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References

All fields with an * are required

Reference #1

Name*

Address*

Phone*

Relationship*

Reference #2

Name*

Address*

Phone*

Relationship*

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Miscellaneous

All fields with an * are required

When would you be available to start work?*

Check which shift(s) you would accept:*DayEveningRotatingWeekend

Check which job status(es) you would accept:*Full-timePart-time

If part-time specify # of hours

Have you ever signed, or are you otherwise subject to, a non-competition or confidentiality agreement?*YesNo

Are you legally eligible for employment in the United States?*YesNo

In accordance with the requirements of the Immigration Reform and Control Act of 1986 and other laws, if you are employed you will be required to verify your identity and to certify that you are eligible to be employed. Kaiser Garage Doors & Gates participates in E-Verify.

Have you ever been convicted of, or plead guilty or no contest to any violation(s) of law? A criminal record will not necessarily disqualify you from employment. Do not include traffic violations that did not involve driving under the influence, personal injury, or property damage. For additional convictions use additional sheets of plain paper.*YesNo

If “YES”, Description of offense:

Date of Charge:
Date of Conviction
City, State of Conviction

CERTIFICATION--Each Application Requires Current Date and Original Signature

I hereby certify that all entries on this Application and on all attachments are true and complete, and I agree and understand that any falsification of information, regardless of time of discovery, may result not only in the termination of any employment by Kaiser Garage Doors & Gates but also in legal action. I also understand that this is not a contract for employment and if I become employed by Kaiser Garage Doors & Gates my employment will be “at will” unless specifically provided otherwise in a writing signed by me and an officer of the company.