Application For Employment: An Equal Opportunity Employer

APPLICATION FOR EMPLOYMENT
An Equal Opportunity Employer:

We are an equal opportunity employer. Prospective employees will receive consideration without discrimination because
of race, creed, color, sex, age, national origin or handicap.
Date of Application:
Location of Kiwi store you are applying to:
Name:
Present Address:
(Street) (City) (State) (Zip Code)
Telephone: Home: Cell:
Email:
First Date Available to Work:
Specify Months Available to Work:
Specify Days and Hours Available to Work:
Have you ever applied for a position with us? If “yes”, when?
Have you ever been employed by us?
How did you hear about us? ( Ex. Website, Craigslist, Referral, etc…)
Have you been convicted of a felony within the last 5 years? (A conviction will not necessarily
disqualify an applicant from employment.)
Employment Application.doc
If “yes”, please explain in the space below.
Do you have any criminal charges pending? (This information will not necessarily disqualify an
applicant from employment.)
If “yes”, please explain in the space below.
Are you at least 18 years of age? If “no”, please state your age:
Can you provide, according to Federal laws, proof of Citizenship, Visa or Alien status after being
hired?
EMPLOYMENT HISTORY
In the following spaces give a complete record of your last five (5) years of employment. If you have a
resume please answer “yes” to the question “Resume Attached.” Be sure that the information
requested below not listed on your resume is entered here in the space provided.
RESUME ATTACHED?
1. Present or Last Employer:
From: (Mo/Yr.) To: (Mo/Yr.)
Address (city and state):
Positions Held:
Most Recent Salary/Pay:
Supervisor:
Duties:
Positions Held:
Supervisor:
Duties:
Positions Held:
Supervisor:
Duties:
ADDITIONAL INQUIRIES CONCERNING EMPLOYMENT HISTORY
1. May we contact your present employer? Your previous employers?
2. Have you ever been terminated or asked to resign from any employment?
If “yes “, please explain:
EDUCATIONAL DATA
High School
School Name:
City and State:
Years Attended:
Diploma:
College
School Name:
City and State:
Years Attended:
Diploma:
Area of Study:
Other
School Name:
City and State:
Years Attended:
Diploma:
Area of Study:
PRE-EMPLOYMENT INQUIRY RELEASE

Pre-employment screening:
All pre-employment screening will be performed pursuant to and in compliance with
Federal and State laws. After the application is submitted, the hiring manager will make
a determination as to their interest in interviewing the applicant for a position. After the
interviewing process, a determination will be made whether to make an offer of
employment.
PRE-EMPLOYMENT INQUIRY RELEASE

The information provided in this Application for Employment is true, correct and
complete. If employed, any misstatement or omission of fact on this application may
result in my dismissal. I understand that acceptance of an offer of employment does not
create a contractual obligation upon the employer to continue to employ me in the
future, and I may be terminated with or without notice or cause. I also have the right to
terminate my employment at any time for any reason I feel is appropriate. I agree and
understand that if I accept employment I voluntarily agree to waive any right to file an
action or bring a claim for damages in any administrative or judicial forum; instead, if
necessary, I will pursue such claims through the Company’s Dispute Resolution Policy,
including Mediation/Arbitration. I hereby authorize any past or present employer,
administrator, personal history, workers’ compensation claims, criminal history, or motor
vehicle information to be released to the holder of this document. A facsimile (FAX) or
copy of this authorization shall be as valid as the original. Permission is granted for
information to be released by any state agency or from any Consumer Credit Reporting
Agency. The information obtained from these reports will only be used for assistance in
the hiring decision and will not be disclosed to any other person. I agree and understand
that any offer of employment I may receive is contingent upon my successful completion
of the Company’s pre-employment screening.
Print Full Name:
Date:
THANK YOU AND WE LOOK FORWARD TO SPEAKING WITH YOU SOON!

Application For Employment: An Equal Opportunity Employer

Uploaded by

Copyright:

Available Formats

Application For Employment: An Equal Opportunity Employer

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Application For Employment: An Equal Opportunity Employer

Uploaded by

Copyright:

Available Formats

APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer:

Location of Kiwi store you are applying to:

Telephone: Home: Cell:

First Date Available to Work:

Specify Months Available to Work:

Specify Days and Hours Available to Work:

Have you ever been employed by us?

1. Present or Last Employer:

From: (Mo/Yr.) To: (Mo/Yr.)

Address (city and state):

Most Recent Salary/Pay:

2. Present or Last Employer:

From: (Mo/Yr.) To: (Mo/Yr.)

Address (city and state):

Most Recent Salary/Pay:

3. Present or Last Employer:

From: (Mo/Yr.) To: (Mo/Yr.)

Address (city and state):

Most Recent Salary/Pay:

ADDITIONAL INQUIRIES CONCERNING EMPLOYMENT HISTORY

1. May we contact your present employer? Your previous employers?

City and State:

City and State:

City and State:

PRE-EMPLOYMENT INQUIRY RELEASE

PRE-EMPLOYMENT INQUIRY RELEASE

Print Full Name:

THANK YOU AND WE LOOK FORWARD TO SPEAKING WITH YOU SOON!

You might also like