KOLBERG PIONEER, INC. IN-HOUSE APPLICATION
(HRF-002-05 12/16)
Name: ___________________________________________ Date: ____________________
Current Dept.: _______________________ Current Position: ________________________
Current Shift: _________ Current Supervisor: ______________________
Years with Company: _________ Years on Present Job: _________
sssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss(Suggestion: A resume would make this application complete and informative.)
1.) I am applying for: ____________________________________________________________________
Position Department Shift
2.) I am applying for this position because: ___________________________________________________
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3.) My qualifications for this position are: ___________________________________________________
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SIGNATURE OF APPLICANT: _______________________________________ Employee #: ____________
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FORM TO BE HAND CARRIED TO THE HUMAN RESOURCES DEPT.
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FOR THE REVIEWING/ACCEPTING SUPERVISOR
Date of Interview: _____________
Accepted: _______ Effective Date: _______________ Wage Rate: __________________
Title: _______________________ Shift: ________ Dept.: ______
Differential: Yes No
Not Accepted: _______ Reason: __________________________________________________
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