K&D Employment Application

Employment History Information
Work History: Current and previous 2 employers (most current employer listed first)
Most Recent Employer Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Position Held
Start Date

Month Day Year
Date Finished

Month Day Year
Employer phone

Area Code Phone Number
Supervisor name

First Name Last Name
Describe your duties:
Reason for leaving
NEXT EMPLOYER
Employer Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Position Held
Start Date

Month Day Year
Date Finished

Month Day Year
Employer phone

Area Code Phone Number
Supervisor name

First Name Last Name
Describe your duties:
Reason for leaving
NEXT EMPLOYER
Employer Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Position Held
Start date

Month Day Year
Date Finished

Month Day Year
Employer phone

Area Code Phone Number
Supervisor name

First Name Last Name
Describe your duties:
Reason for leaving

Additional Information
Have you ever been convicted of a felony? *

Yes No
If yes, please give date and explain
Have you ever been employed under a name other than the name used on this application? *

Yes No
If yes, please explain

I understand that K&D is considering me for employment. They have my permission to perform the following:

Criminal Background Check

Credit Check

BMV Check
Driver's License/State ID Number: *
Expiration Date: *
Furthermore, I understand that K&D is A “Drug-Free” company and that I may be subject to random Drug Testing. A positive testing is grounds for immediate dismissal.

The information provided in this Application for Employment is true, correct and complete. If you employ me, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment creates no obligation upon you, the employer, to continue to employ me in the future. Each employee is an EMPLOYEE AT WILL of the Company. As such, an employment contract is neither implied nor included as part of the Company’s policy of practice.
Choose ONE: *

I ACCEPT I DO NOT accept
Should be Empty:

APPLICATION FOR EMPLOYMENT