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Job Application

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Job Application

Employment Application

Employment Eligibility

KT Holden complies with all applicable federal and state employment laws and regulations. As part of our hiring process, all employees are required to complete Form I-9 to verify identity and authorization to work in the United States.

We participate in E-Verify, a program administered by the U.S. Department of Homeland Security in partnership with the Social Security Administration, to confirm employment eligibility after hire.

Applicant Information

First Name

Last Name

Middle Initial

Address

Street Address

Address Line 2

City

State

Zip Code

Country

Phone Number

Email

Date Available

Social Security #

Desired Salary

Position Applied For

Are you a citizen of the United States?

Yes

No

Are you authorized to work in the U.S.?

Have you ever worked for this company?

Yes

No

When have you worked for this company?

Union Affiliation:

Local:

Have you ever been convicted of a felony?

Yes

No

Explain:

Education

High School

From:

To:

Did you graduate?

Yes

No

Diploma:

College

From:

To:

Did you graduate?

Yes

No

Degree:

Other

From:

To:

Did you graduate?

Yes

No

Degree:

References

Please list two professional references.

Reference #1:

Full Name

Company

Relationship

Phone Number

Address

Reference #2:

Full Name

Company

Relationship

Phone Number

Address

Previous Employment

Place of Employment #1:

Address

Company

Supervisor

Phone Number

Job Title

From:

Starting Salary

To:

Ending Salary

Reason for Leaving:

Add Additional Place of Employment?

Place of Employment #2:

Address

Company

Supervisor

Phone Number

Job Title

From:

Starting Salary

To:

Ending Salary

Reason for Leaving:

Were You in Military Service?

Yes

No

Military Service

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Full Legal First Name

Full Legal Last Name

Date of Signature

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