Application For Employment

Application For Employment

N.K.S. Distributors, Inc
All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, severe/morbid obesity, medical condition, military/veteran status, genetic information, marital status, ethnicity, alienage or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our retail customers and contributing to the success of N.K.S., its brewers, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring accommodation to complete the application and/or interview process should contact a management representative.
Position(s) Applied For *
Location Applied For *
Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Main Phone Number *
Please enter a valid phone number.
Alternative Phone Number
Please enter a valid phone number.
Email *
example@example.com

Employment Experience

Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time. If self-employed, give firm name and supply business references.
Name Of Employer *
Supervisor
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date Started *

Month Day Year
Date
Date Ended *

Month Day Year
Date
Job Title and Duties
Reason for Leaving
May we contact?

Yes No
Name Of Employer *
Supervisor
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date Started *

Month Day Year
Date
Date Ended *

Month Day Year
Date
Job Title and Duties
Reason for Leaving
May we contact?

Yes No
Would you like to add a 3rd employer?

Yes No
Name Of Employer
Supervisor
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date Started

Month Day Year
Date
Date Ended

Month Day Year
Date
Job Title and Duties
Reason for Leaving
May we contact?

Yes No

Have you ever been involuntarily terminated or asked to resign from any job? *

Yes No
Please explain
Please explain any gaps in your employment history
Please list any other experience, job related skills, additional languages, or other qualifications that you believe should be considered in evaluating your qualifications for employment.

Please describe your educational background in the table provided below. *

	School Name	Years Completed	Diploma/Degree (Y/N)	Course of Study/Major	Specialized Training, Skills
Highschool
College/ University
Graduate/ Professional School
Trade School
Other

BUSINESS AND PROFESSIONAL REFERENCES - Please list three professional references of individuals who are not related to you. *

	Name and Title	Relationship	Phone or Email
1
2
3

PERSONAL REFERENCES - Please list three people who know you well *

	Name and Title	Relationship	Phone or Email
1
2
3

APPLICANT STATEMENT AND AGREEMENT

Please read and initial each paragraph below. If there is anything that you do not understand, please ask.
I hereby authorize N.K.S. to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references I have listed to disclose to N.K.S. any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release N.K.S., my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
*
In the event of my employment with N.K.S., I understand that I am required to comply with all rules and regulations of N.K.S.
*
If hired as a non union employee, I understand and agree that my employment with N.K.S. is at-will, and that neither I, nor N.K.S. is required to continue the employment relationship for any specific term. I further understand that N.K.S. or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.
*
I understand that safety of employees is extremely important to N.K.S. and that N.K.S. is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.
*
.
I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
*
I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.
*
I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed and the remainder of this Agreement shall be enforceable.
*
MY SIGNATURE BELOW ATTESTS TO THE FACT THAT I HAVE READ, UNDERSTAND, AND AGREE TO ALL OF THE ABOVE TERMS.
Signature *

Clear
Name *

First Name Last Name
Date *

Month Day Year
Today's Date

N.K.S. DISTRIBUTORS, INC. BACKGROUND CHECK NOTICE TO APPLICANT AND AUTHORIZATION FOR CONSUMER REPOR
The purpose of this notice is to inform you that we will be conducting a pre-employment background investigation in conjunction with your application for employment with our company. This background investigation may involve verifying or reviewing any of the following relevant information:
- Social Security Number
- DMV Record
- Criminal Convictions
- Prior Employment History
- Eductional History
As part of this investigation, the Company will obtain a consumer report from a Consumer Reporting Agency, ADP Screening and Selection Services, for employment purposes. The Company may use information in the consumer report for decisions related to your employment. A copy of the report will be provided to you, free of charge, if you wish.

By your signature below, you authorize the Company to obtain this consumer report.

If you wish to receive a copy of the report, please include your address below. This notice and authorization is in accordance with the Fair Credit Reporting Act
I authorize the Company to obtain a consumer report for employment purposes. *

Clear
Name *

First Name Last Name
Date *

Month Day Year
Today's Date
I wish to receive a copy of my consumer report. My address is:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please verify that you are human *
Should be Empty:

Application For Employment

General Information

APPLICANT STATEMENT AND AGREEMENT

N.K.S. DISTRIBUTORS, INC. BACKGROUND CHECK NOTICE TO APPLICANT AND AUTHORIZATION FOR CONSUMER REPOR