Opportunities

Applicant Information

Full Name

Date

Phone #

Street Address

Apartment/Unit

City

State

ZIP

Date Available

Desired Salary

Position Applied For

Are you legally eligible for employment in the United States?

Yes No

Have You Ever Worked for this Company?

Yes No

Are you Over the Age of 18 Years?

Yes No

Education

High School

High School Address

Did you Graduate High School?

Yes No

College

College Address

Did you Graduate College?

Yes No

College Degree

Other Education

Other Education Address

Did you Graduate Other Education?

Yes No

Other Degree

References

Reference 1 Full Name

Relationship to Reference 1

Reference 1 Company

Reference 1 Phone #

Reference 2 Full Name

Relationship to Reference 2

Reference 2 Company

Reference 2 Phone #

Reference 3 Full Name

Relationship to Reference 3

Reference 3 Company

Reference 3 Phone #

Previous Employers (Present or most recent first)

Company 1

Company 1 Phone #

Company 1 Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we Contact your Previous Supervisor for a Reference?

Yes No

Company 2

Company 2 Phone #

Company 2 Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we Contact your Previous Supervisor for a Reference?

Yes No

Company 3

Company 3 Phone #

Company 3 Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we Contact your Previous Supervisor for a Reference?

Yes No

Military Service

Were you in the Military?

Yes No

Branch

Rank

From

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. I understand that any misrepresentation of information shall be sufficient cause for withdrawing any offer of employment or terminating my employment. I understand that any offer of employment is conditioned upon the receipt of satisfactory references and background checks. I further understand and agree that if hired, my employment is at will and for no definite period and may be terminated by either party without notice, with or without cause.

Signature

Date

Are you interested in joining the KingFisher team?

We currently have openings for the following positions:

Applicant Information

Education

References

Previous Employers (Present or most recent first)

Military Service

Disclaimer and Signature