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Kirkwood Fence Application for Employment

Kirkwood Fence is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications, and without regard to race, sex, national or ethnic origin, disability, age, veteran status, or sexual orientation.

Complete the entire application. You may attach a resume, but you must still complete all questions; or your application will be deemed incomplete and may not be considered. Please fill out each box (don't just indicate "See Resume.") Applications with missing or invalid job numbers will not be considered for any position.

Fields marked with are required.


Personal Information

Position Applying For
JOB #
Name (Last, First, Middle)
Other names under which you have attended school or been employed
Street Address
City
State
Zip
Social Security Number
Home Phone
Work Phone
Other Phone
Are you eligible to work in the United States?
Are you 18 years of age or older?
What is your current age?
Are you currently employed at Kirkwood Fence, Gravelshooters, or Quality Waterproofing?
What is your current job title & department?
Are you related to any current Kirkwood Fence, Gravelshooters, or Quality Waterproofing employee?
Their name & their relationship to you?
If required for position, do you have a valid driver's license?
State of issuance, license #, and expiration date
Have you been convicted crime in the last 7 years?
Please Explain

Education

High School

Name
City/State
Did you graduate?
# of years left to graduate
Date of graduation
Degree received
Major

GED

Name
City/State
Did you graduate?
# of years left to graduate
Date of graduation
Degree received
Major

Other School

Name
City/State
Did you graduate?
# of years left to graduate
Date of graduation
Degree received
Major

College

Name
City/State
Did you graduate?
# of years left to graduate
Date of graduation
Degree received
Major

College

Name
City/State
Did you graduate?
# of years left to graduate
Date of graduation
Degree received
Major

College

Name
City/State
Did you graduate?
# of years left to graduate
Date of graduation
Degree received
Major
Other names under which you have attended school or been employed

Skills

Please list technical skills, clerical skills, trade skills, etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and not your level of proficient (basic, intermediate, expert)


Work Experience

Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Omission of prier employment may be considered falsification of information. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments. PLEASE DO NOT complete this information with the notation "See Resume".

PLEASE NOTE: Kirkwood Fence reserves the right to contact all current and former employers for reference information.

Organization Name and Address
Title
# hrs / wk
Dates Employed (most recent position)
From
To
 
Salary
Starting
Final
 
Supervisor's Name, Title, and Phone
Other Reference Name, Title, and Phone
Contact my current references
Primary Duties
Reason for Leaving
Organization Name and Address
Title
# hrs / wk
Dates Employed (most recent position)
From
To
 
Salary
Starting
Final
 
Supervisor's Name, Title and Phone #
Other Reference Name, Title and Phone #
Contact my current references
Primary Duties
Reason for Leaving
Organization Name and Address
Title
# hrs / wk
Dates Employed (most recent position)
From
To
 
Salary
Starting
Final
 
Supervisor's Name, Title and Phone #
Other Reference Name, Title and Phone #
Contact my current references
Primary Duties
Reason for Leaving
Organization Name and Address
Title
# hrs / wk
Dates Employed (most recent position)
From
To
 
Salary
Starting
Final
 
Supervisor's Name, Title and Phone #
Other Reference Name, Title and Phone #
Contact my current references
Primary Duties
Reason for Leaving
Organization Name and Address
Title
# hrs / wk
Dates Employed (most recent position)
From
To
 
Salary
Starting
Final
 
Supervisor's Name, Title and Phone #
Other Reference Name, Title and Phone #
Contact my current references
Primary Duties
Reason for Leaving
Organization Name and Address
Title
# hrs / wk
Dates Employed (most recent position)
From
To
 
Salary
Starting
Final
 
Supervisor's Name, Title and Phone #
Other Reference Name, Title and Phone #
Contact my current references
Primary Duties
Reason for Leaving
Organization Name and Address
Title
# hrs / wk
Dates Employed (most recent position)
From
To
 
Salary
Starting
Final
 
Supervisor's Name, Title and Phone #
Other Reference Name, Title and Phone #
Contact my current references
Primary Duties
Reason for Leaving
Organization Name and Address
Title
# hrs / wk
Dates Employed (most recent position)
From
To
 
Salary
Starting
Final
 
Supervisor's Name, Title and Phone #
Other Reference Name, Title and Phone #
Contact my current references
Primary Duties
Reason for Leaving
Have you been laid off and are subject to recall?
 
Are you a veteran of the U.S. Military Service?
What branch

References

Give name, address and telephone number of three references who are not related to you and are not previous employers.


Resume

Please upload a resume of one of the following formats: pdf, doc, docx, odt, txt, jpg, png, gif


PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Kirkwood Fence to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Kirkwood Fence serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis, I understand that I would be required to make mandatory contributions to the Kirkwood Fence System or to an optional retirement program, if applicable. I understand that any benefits I receive may subject to change or discontinuation at any time without prior notice. I understand that the first SIX MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without without right of appeal.

Applicant Signature
Date