KGE EMPLOYMENT APPLICATION FORM

All information on this application form is required
APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS
PLEASE COMPLETE PAGES 1 -2. / DATE: / //
Name:
Last / First / Middle / Maiden
Present address:
Number / Street / City / State / Zip
How long:
Telephone: / () -
If under 18, please list age:
Days/Hours available to work:
Position applied for (1) / No Pref / Thursday
And salary desired (2) / Monday / Friday
(Be specific) / Tuesday / Saturday
Wednesday / Sunday
How many hours can you work weekly?
Employment desired: / FULL-TIME ONLY / PART-TIME ONLY / FULL OR PART-TIME
When available for work?
TYPE OF SCHOOL / NAME OF SCHOOL / LOCATION
(Complete mailing address) / NUMBER OF YEARS COMPLETED / MAJOR AND DEGREE
High School
College
Bus. Or Trade School
Professional School
DO YOU HAVE A DRIVING LICENSE? / Yes / No
What is your means of transportation to work?
Driving License Number / State of Issue / Operator / Commercial (CDL)
A (CDL)
B (CDL)
HAZMAT (CDL)
Have you had any accident in the last three years? / How many?
Have you had any moving violations during the last three years? / How many?
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

KGE EMPLOYMENT APPLICATION FORM

PLEASE PRINT ALL INFORMATION
EXCEPT SIGNATURE
MILITARY
HAVE YOU EVER BEEN IN THE ARMED FORCES? / NO / YES
ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? / NO / YES
Specialty: / Date Entered: / // / Honorable Discharge Date: / //
Dishonorable Discharge Date: / //
Reason for
Dishonorable Discharge
WORK
EXPERIENCE / Please list all your work experience in the past five years beginning with your last job held.
If your were self-employed, give firm name. Attach additional sheets if necessary.
Name of Employer -1 / Name of Last Supervisor / Employment Dates / Pay or Salary
Address / From / // / Start / //
City / To / // / Final / //
State / Last Job Title
Zip Code
Phone Number
Reason for leaving.
(Be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked with this company.
Name of Employer -2 / Name of Last Supervisor / Employment Dates / Pay or Salary
Address / From / // / Start / //
City / To / // / Final / //
State / Last Job Title
Zip Code
Phone Number
Reason for leaving.
(Be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked with this company.
Name of Employer -3 / Name of Last Supervisor / Employment Dates / Pay or Salary
Address / From / // / Start / //
City / To / // / Final / //
State / Last Job Title
Zip Code
Phone Number
Reason for leaving.
(Be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked with this company.

I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal.

X

Name of Applicant

By typing your name above and submitting this application you represent and affirm that the information provided is true, correct, and complete.

Date//