McKinley Services - Employment Applications

Employment Application

An Equal Opportunity Employer
Full Legal Name*

First NameLast Name
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
SSN:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date you moved to current address:

MonthDayYear
Date
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Applying for:*
Other Position applying for:
Work Availability:*

Full-TimePart-TimeEveningsWeekendsNightsVolunteer
Are you legally authorized to work in the United States?*

YesNoNo and Require sponsorship
Have you previously been employed by our company?*

YesNo
Have you ever applied for employment with our company?*

YesNo
If yes, when?

MonthDayYear
Date
Are you related to anyone currently or previously employed by our company?*

YesNo
If yes, name and relationship?
Driver's License/ID#*
State of Driver's License/ID
Aliases/Prior Names
Include all names by which an applicant has been identified as
Are you a U.S. Citizen:*

YesNo
Place of birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country of Birth*
Have you lived outside of Alaska at any time?

YesNo
If you have lived outside of Alaska, at any time, please provide states in the years in which the applicant has lived.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If you have lived outside of Alaska, at any time, please provide states in the years in which the applicant has lived.

City State: From Year:blank To Year:
City State: From Year: To Year:
Cityblanks State: Type a label From Year:blank To Year: Type a label
Present or Last Position:*
Name of Company:*
From Month/Year*
To Month/Year*
Present or Last Position:
Name of Company:
From Month/Year
To Month/Year
Present or Last Position:
Present or Last Position:
Name of Company:
From Month/Year
To Month/Year
Present or Last Position:
Name of Company:
From Month/Year
To Month/Year
Education High School:*
Please Include Name of School, City and State
GED/Diploma*
College:
Please Include Name of School, City and State
Degree
Major:
College:
Please Include Name of School, City and State
Degree
Major:
Graduate School:
Please Include Name of School, City and State
Degree
Major:
Certificates Received

CPRFirst AidPCA CertificationCNA CertificationOther

SKILLS

	Beginning	Intermediate	Advanced
MS Word Skills
MS Excel Skills
MS PowerPoint
MS Access

Relevant Skill:
Have you heard of an app called Therap?

YesNo
If so, have you used Therap in the past?

YesNo
Do you have a FL Train Account?

YesNoI don't rememberYes, but its inactive.
Email associated to FL Train Acct:
Upload Resume

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