KLS - ONLINE APPLICATION FOR EMPLOYMENT |
We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation or any other legally protected status. |
Completely Fill Out Form: |
| Position(s) Applied For |
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| Date of Application |
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How Did You Learn About Us? |
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Last Name |
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First Name |
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Middle Name |
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| Address |
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| City |
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| State |
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| Zip |
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Telephone Number(s) |
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If you are under 18 years of age, can you provide required proof of your eligibility to work? |
Yes
No |
Have you ever filed an application with us before? If Yes, give date. |
Yes
No
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Have you ever been employed with us before? If Yes, give date. |
Yes
No
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Are you currently employed? |
Yes
No |
May we contact your present employer? |
Yes
No |
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Proof of citizenship or immigration status will be required upon employment.
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Yes
No |
| On what date would you be available for work? |
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Are you available to work: |
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Are you currently on "lay-off" status and subject to recall? |
Yes
No |
Can you travel if a job requires it? |
Yes
No |
Have you been convicted of a felony within the last 7 years?
Conviction will not necessarily disqualify an application from employment. |
Yes
No |
| If Yes, please explain |
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Education: |
Elementary School Name
Elementary School Address
Course Study
Years Completed
Diploma Degree |
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High School Name
High School Address
Course Study
Years Completed
Diploma Degree |
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Undergraduate College Name
Undergraduate College Address
Course Study
Years Completed
Diploma Degree |
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Graduate Professional College Name
Graduate Professional College Address
Course Study
Years Completed
Diploma Degree |
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| Other Please Specify |
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Indicate any foreign languages you can speak, read and/or write: |
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| Describe any specialized training, apprenticeship, skills and extra-curricular activities. |
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| Describe any job-related training received in the United States military. |
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Employment Experience: |
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status. |
1. |
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Reason for Leaving
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Dates Employed |
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| Work Performed |
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2. |
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Reason for Leaving
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Dates Employed |
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| Work Performed |
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3. |
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Reason for Leaving
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Dates Employed |
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| Work Performed |
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4. |
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Reason for Leaving
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Dates Employed |
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| Work Performed |
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List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status. |
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Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience. |
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Specialized Skills: |
Check Skills/Equipment Operated |
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References: |
1. |
Name/Title
Address
Telephone Number(s)
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2. |
Name/Title
Address
Telephone Number(s)
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3. |
Name/Title
Address
Telephone Number(s)
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Applicant's Statement: |
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge, that unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at may time and the Employer may discharge Employee at any time with or without case. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the even of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
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KENTUCKY LIGHTING & SUPPLY IS AN
EQUAL OPPORTUNITY EMPLOYER |