Employment Application
Name *
Your answer
Phone Number *
Your answer
Email *
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Address *
Your answer
Full Time or Part Time? *
Date Available to Start *
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DD
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YYYY
Which Shifts are You Willing to Work? *
Required
Desired Pay Per Hour *
Your answer
Position(s) Sought *
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Most Recent Place of Employment (Provide Date and Reason For Separation) *
Your answer
Next Most Recent Place of Employment (Enter NA if You Don't Have One) *
Your answer
Federal Law Requires Documentation to Prove You are Eligible to Work in The United States if You are Hired. Are You Able to Provide Such Documentation if Hired? *
Have You Ever Been Convicted of a Felony? *
If You Have Been Convicted of a Felony, Please Explain the Offense and Date of Offense (If You Have Not, Please Mark NA in the Box) *
Your answer
List Any Certifications or Qualifications You Believe May Be Beneficial for the Position for Which You are Applying
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Provide any Other Information You Would Like Considered
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By Selecting Yes, You Affirm that All Information You Have Provided in This Application is True and Accurate, and Acknowledge that Any Falsifications May Forfeit Your Opportunity to Become or Remain Employed By/With Kelly Plastics, Inc. *
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