K-la Job Application

Job Application

Please complete the form below to apply for a position with us.
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Start date*

MonthDayYear
Full Name*

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number

Area CodePhone Number
Applying for Position*
Job Type*
Desired Location*
Desired Pay*
General Information
Are you at least 18 years of age?*

YESNO
Are you a citizen of the United States of America? *

YESNO
Have you ever worked for this company?*

YESNO
Have you ever been convicted of a crime?*

YESNO
If so, please explain:
Education
Highschool Attended:*
Have you graduated?*

YESNO
College Attended:*
Have you graduated?*

YESNO
References
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Type of Reference*

ProfessionalPersonal
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Type of Reference*

ProfessionalPersonal
Backdround Consent Form
In the event that I am considered for a position with K-la, I hereby authorize K-la to receive any criminal record information pertaining to me, which may be in the files of any state or local criminal justice agency in Georgia and North Carolina.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Sex*
Race*
Date of Birth*

MonthDayYear
Last 4 of Social Security #*
I understand that by signing this form I am giving the authorized party noted above permission to run a background check on me prior to my employment with the company. In addition, if hired by the company noted above, I give permission for the company to run additional background checks on me as a condition of my employment with them. No additional consent is required from me as long as I am employed with the company. This authorization ends upon the termination of my employment with the company.
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Job Application

General Information

Education

References

Backdround Consent Form