EMPLOYMENT APPLICATION
Email address *
AN EQUAL OPPORTUNITY EMPLOYER – KCC Employees, LLC ensures equal opportunity for all in its personnel policies and practices and does not discriminate on the basis of race, creed, color, sex, religion, national origin, citizenship, age, veteran status, disability, pregnancy, marital status, genetic information, sexual orientation or sexual identification.
PERSONAL DATA
Today's Date
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Name (Last, First Middle)
Your answer
Address
Your answer
City/State/Zip
Your answer
Home Phone:
Your answer
Business Phone:
Your answer
Email Address:
Your answer
Position Applying for: *
Your answer
Requested Salary:
Your answer
Available Start Date:
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Available to work overtime?
Have you ever applied for employment with us?
If so, date:
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Have you ever been arrested or convicted of a felony (including sexually related or child abuse related offenses)?
If so, please explain:
Your answer
This information is requested so that KCC Employees, LLC may judge its hiring practices and its EEO compliance. It will not be used in making employment decisions, except as allowed by law. Your response to this is voluntary.
CHECK ONE:
Only U.S. citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Others are prohibited from employment by Federal law. Are you presently authorized to work in the United States?
Federal law requires proof of your authorization. You will be asked to provide proof of your identity and employment eligibility no later than three days after date of employment.
EDUCATION
Graduate School
School Name
Your answer
Course of Study
Your answer
Number of years completed?
Your answer
Did you graduate?
Degree/Diploma
Your answer
College
School Name
Your answer
Course of Study
Your answer
Number of years completed?
Your answer
Did you graduate?
Diploma/Degree
Your answer
Business/Trade School
School Name
Your answer
Course of Study
Your answer
Number of years complete?
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Did you graduate?
Diploma/Certification
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High School Attended
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Course of Study
Your answer
Did you graduate?
Certifications
List any Certifications/Endorsements received along with the issuing State and Expiration Dates.
Your answer
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