WORK AT KUHN

Thank you for your interest in Kuhn Employment Opportunities. In order to best match a job position with your background and experience, we first need to learn about you, your work history, skills and experience, as well as your education and certifications. Your time invested in thoroughly and accurately completing this application is sincerely appreciated. Please note: Fields marked with a red asterisk * are required.

Personal Info

First Name:* Last Name:*
Have you ever used another name?:*  
Other names you are or have been known by:  
Is any additional information relative to change of name, use of an assumed name, or nickname necessary to enable a check on your work and education record?  

Present Address

Street:*
City:* State:*     Zip:* 

Permanent Address

Street:*
City:* State:*     Zip:* 

Contact Info

Daytime Phone:*     Evening Phone:* 
Email Address:*

Employment Desired

Position:* Location:*

Date You Can Start:*


Salary Desired: Hourly:* $ Yearly:* $

Preferred Job Type:          *Please select one

Specify hours available each day (eg. 8:00 AM - 4:30 PM):
Mon:* Tues:* Wed:* Thurs:* Fri:*

Please specify shifts you are able to work:            *Please select one

Are you able to work additional hours?*  
Are you employed now?*  
If Yes, may we contact your current employer?*  

Education

High School

Name of School:*  
Address:*  
Last Year Completed:*  
Did you Graduate:*  
Subjects Studied and Degrees Received:*  

College

Name of School:  
Address:  
Last Year Completed:  
Did you Graduate:  
Subjects Studied and Degrees Received:  

Post College

Name of School:  
Address:  
Last Year Completed:  
Did you Graduate:  
Subjects Studied and Degrees Received:  

Trade School

Name of School:  
Address:  
Last Year Completed:  
Did you Graduate:  
Subjects Studied and Degrees Received:  

Former Employers

Please provide the following information for your current and previous two employers, starting with your most recent employer first. This section must be completed in detail even if you upload a resume.

#1

Current / Previous Employer:*  
Address:*  
From:*
  (Month/Year)     To:*  (Month/Year)
Job Title:*  
If hourly, average # of hours per week:*  
Duties Performed:*  
Reason For Leaving:*  
Supervisor's Name:*  
Phone Number:*  
(Cell phone numbers are not allowed.)
May We Contact?:*  

#2

Previous Employer:  
Address:  
From:
  (Month/Year)     To:  (Month/Year)
Job Title:  
If hourly, average # of hours per week:  
Duties Performed:  
Reason For Leaving:  
Supervisor's Name:  
Phone Number:  
(Cell phone numbers are not allowed.)
May We Contact?:  

#3

Previous Employer:  
Address:  
From:
  (Month/Year)     To:  (Month/Year)
Job Title:  
If hourly, average # of hours per week:  
Duties Performed:  
Reason For Leaving:  
Supervisor's Name:  
Phone Number:  
(Cell phone numbers are not allowed.)
May We Contact?:  

References

Please provide the following information for three professional references from your current or former supervisors or managers. Please note: Friends, coworkers, and family members cannot be used as professional references.

#1

Reference Name:*  
Reference Title:*  
Company Name:  
Address:  
Phone Number:  
Your Job Title:  
Years Acquainted:  

#2

Reference Name:*  
Reference Title:*  
Company Name:  
Address:  
Phone Number:  
Your Job Title:  
Years Acquainted:  

#3

Reference Name:*  
Reference Title:*  
Company Name:  
Address:  
Phone Number:  
Your Job Title:  
Years Acquainted:  

General Info

Have you ever been terminated or asked to resign from any job?*  
If yes, please explain:

Please explain fully any gaps in your employment history:*

Are you legally eligible for employment in the U.S.?*  
(If offered employment, you will be required to provide documentation to verify identity and eligibility.)

Can you, upon a valid offer of employment, submit verification of legal right to work in the U.S.?*  

How did you hear about us?*
Were you referred?*  
By whom?

Have you ever applied to Kuhn Employment Opportunities before?*  
If yes, when?       What position?   

Have you ever worked for Kuhn Employment Opportunities?*  
If yes, when?       What was your job title?   

If hired, would you have access to reliable transportation to and from work?*  

Tell Us More

Why do you want to work for Kuhn Employment Opportunities?*


Do you have experience working with persons with disabilities?*  
Where?  

What certifications / trainings do you have or have you had?
                                         


Some positions require driver's license endorsements. What driver's license endorsements do you have or have you had? Please list all that apply: Public Passenger Endorsement, "F" Endorsement, CDL-P, etc. Are any endorsements currently active and valid?*


Some positions require special language skills. Please list all that apply, for example: Bilingual - Spanish & English / Spanish to English - Speaking, Writing, Translation / English to Spanish - Speaking, Writing, Translation.*


Have you ever received an award or been given special recognition for something that you did?*


Please list volunteer experience that is relevant to the position for which you are applying:*


Certification

I certify under penalty of perjury that all of the information contained in this application, and accompanying resume if applicable, any other documents filled out in connection with my employment, and any information provided in any interview, is true, complete and correct, and I understand that any misrepresentation, omission, or falsification of this application or any of the information provided by me may result in my disqualification from further consideration for employment or, if hired, immediate dismissal from employment.

I understand that any offer of employment is conditioned upon a background check. I acknowledge that offers of employment are contingent upon the return of background information that is fully consistent with the strict hiring criteria set forth by Kuhn Employment Opportunities. Upon a valid offer of employment, I hereby authorize the Company to contact my current and former employers, references, and any other persons, schools, and organizations for information bearing upon my qualifications for employment, and to thoroughly investigate my background, references, employment record, statements contained in my application and/or resume, and all other matters related to my suitability for employment.

I authorize my current and former employers, references, and any other persons, schools, and organizations contacted by the Company to provide any and all relevant information regarding my current and/or previous employment and to disclose and give to the Company any and all information about my current and previous employment and education, along with other pertinent information they may have, without giving prior notice of such disclosure. In addition, I release the Company, any current and former employers, any references, and all other persons, schools, and organizations from any and all claims, demands, or liabilities arising out of or relating to such investigation or for providing such information and/or disclosure.

I understand and agree that nothing contained in this application, or conveyed during any conversation or interview, is intended to create a contract for employment. I further understand and agree that, if I am hired, my employment is for an unspecified period of time and will be considered “at will”. This means that either I or the Company can terminate the employment relationship at any time, with or without cause or prior notice, for any reason.

I understand that the Company reserves the right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment, to the extent permitted by law. I further understand that I may be required to take other tests, such as personality tests or driving tests, prior to employment and during my employment. I understand that should I refuse to consent to, or decline to take, any of the above tests, my application for employment may be rescinded or employment may be terminated. I acknowledge that a condition of employment is that I abide by the Company’s drug and alcohol policy.

If I am offered an employment opportunity by the Company, I agree to submit to a medical examination before starting work. If employed, I also agree to submit to a medical examination at any time deemed appropriate by the Company and as permitted by federal or state law. I consent to such a medical examination, and I request that the examining doctor disclose to the Company the results of the aforementioned examination, and which results shall remain confidential and filed separately from my personnel file. I understand that my employment, or continued employment, is contingent upon a satisfactory medical examination.


*      *Please acknowledge
Today's Date:* Signature:* 
I am applying an e-signature in my name to this document by typing my full first and last name in the text box above.

EEO INFORMATION

The following information is requested solely to help us comply with government record keeping, reporting, and other legal requirements. This data is for analysis and reporting purposes only and will be maintained in a confidential file separate from your application for employment and other personnel records. Completion of this data will not affect your opportunity for employment, or terms or conditions of employment, if hired. Your responses to this requested information is strictly voluntary. If you do not wish to complete the survey, please check the box in Section II below, indicating that you prefer not to provide any information contained in this self-identification form.

Name:*
Position Applying For:*
How did you hear about us?

Section I

Gender:


Race or Ethnic Group:

Section II

UPLOAD A RESUME

Please take a moment to upload a copy of your current resume. While it is not required, attaching your resume is extremely helpful in providing the management team with as thorough an overview as possible of your unique set of skills and experience. To attach your resume to this job application, click on the "Choose File" button below.



Please fill in the required fields highlighted above in red before clicking Submit.

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