Applicant Information

Last Name *

First Name *

Address *

City *

State *

Postal code *

Phone *

Email *

Desired salary *

Date available *

Applying for *

Are you a citizen of the United States? *

Yes

If no, are you authorized to work in the U.S.? *

Yes

How did you hear about our company and this job opening?

Have you ever applied or worked for this company?

Yes

Why are you applying for work here at McKowski’s?

If hired, would you have a reliable means of transportation to and from work?

Yes

Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)

Yes

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

Yes

If no, describe the functions that cannot be performed

Education

High School

Address
From / To
Did you graduate?
Degree

College

Address
From / To
Did you graduate?
Degree

References

Please list three professional references.

Reference #1

Full name
Relationship
Company
Phone

Reference #2

Full name
Relationship
Company
Phone

Reference #3

Full name
Relationship
Company
Phone

Current Employment

Company
Phone
Address
Supervisor
Job Title
Responsabilities
From / To
Reason for Leaving

Previous Employment

Company
Phone
Address
Supervisor
Job Title
Responsabilities
From / To
Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

Agreements

Please read carefully

Agreements *

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize McKowski’s Maintenance Systems, Inc. to thoroughly investigate my references, work record, education and other matters related to my suitability for employment (excluding criminal background information) unless otherwise specified above. I further authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

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