Online Application for Employment

AVAILABILITY

Please answer the following questions to the best of your ability.
Available Start Date:*

MonthDayYear
Desired Compensation:
Do you have any scheduling restrictions or limitations?*

YesNo
Please provide any scheduling restrictions or limitations that you may have:

EMPLOYMENT EXPERIENCE

Please answer the following questions to the best of your ability.
Employer:
Job Title:
Location:
Start Date:

MonthDayYear
End Date:

MonthDayYear
Responsibilities:
Immediate Supervisor:
Are you currently employed in this position?

YesNo
Reason for leaving:
Employer:
Job Title:
Location:
Start Date:

MonthDayYear
End Date:

MonthDayYear
Responsibilities:
Immediate Supervisor:
Are you currently employed in this position?

YesNo
Reason for leaving:
Employer:
Job Title:
Location:
Start Date:

MonthDayYear
End Date:

MonthDayYear
Responsibilities:
Immediate Supervisor:
Are you currently employed in this position?

YesNo
Reason for leaving:

MILITARY EXPERIENCE

Please answer the following questions to the best of your ability.
Have you served or are you currently serving in any branch of the United States military?*

YesNo
What branch?
From:
To:
Are there any legal restrictions or issues related to your military service that might impact your eligibility for employment?

YesNo

DISCLOSURE & AUTHORIZATION

Please read and complete the below form before submitting.
To ensure the safety and security of our customers and employees, and to protect our intellectual property and other sensitive information, Kyrie Consultants, Incorporated (referred to as "the Company") may conduct a pre-employment screening and verification (referred to as a "background investigation") as a condition of employment. This process may include verifying your Social Security number, conducting checks on criminal, public, educational, and driving records, verifying previous employment, conducting reference, licensing, and certification checks, and reviewing credit reports.

By submitting this application for employment, you consent to and understand that this background investigation may be used in part to evaluate my suitability for employment with Kyrie Consultants, Incorporated. You also release the Company from any liability arising from the acquisition and use of such information as a condition of my employment.
Full Name:*
The information below will be used solely for the purpose of verifying the information provided on the application and completing an investigative report.
List any names you have previously used:*
Date of Birth:*

MonthDayYear
Social Security Number:*
List the cities/states where you have lived in the last 10 years:*
Should be Empty:

Application for Employment