Application - KTH Parts IndustriesKTH Parts Industries

Position Applying For
Full Name*
First Middle Last
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Lived Here How Long?*
Previous Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Lived Here How Long?
Email*
Phone Number*
Do you have a valid Drivers License?*
- Yes
- No
Number Of Unexcused Work Days Missed Last Year
Type of Work Desired*
Date Available To Work
MM slash DD slash YYYY
Starting Wage Desired
Based On
- Per Hour
- Per Week
- Per Month
Referred to KTH By
Have you ever been interviewed by KTH?*
- Yes - If so, see next question
- No
Have you ever worked for KTH?*
- Yes - KTH
- Yes - Staffmark / Adecco
- No
List Relatives Employed by KTH
Were You In The U.S. Armed Forces?*
- Yes - If so, see next question
- No
If Yes, Name Branch
Service Started
MM slash DD slash YYYY
Service Ended
MM slash DD slash YYYY
List Duties and Special Training While in U.S. Armed Forces
Have you Ever Been Convicted of a Felony?*
- Yes - If so, see next question
- No
If Yes, For What Offense? Give Date, Place and Disposition
Are You Legally Authorized to Work in The U.S., For Any Employer, Without Restriction Or Expiration?*
- Yes
- No
Are You a U.S. Citizen Or National, Lawful Permanent Resident, Or An Asylee Or Refugee?*
- Yes
- No
Will You Now Or In The Future Require KTH To Sponsor You For Any Visa Status In Order To Maintain Lawful Authorization To Work For KTH?*
- Yes
- No
Note: Requiring Sponsorship Or Having Work Authorization That Is Subject To Expiration Will Not Automatically Disqualify You For Consideration Of Employment. However, KTH May Consider Such Issues In The Context Of Our Needs And Your Qualifications, To The Extent Permitted By Law.
Are You Over Age 18?*
- Yes, That You Are Of Legal Minimum Age
- No, If No, Hire Is Subject To Verification
Education and Training
High School
Name and Location*
Did you Graduate?
- Yes
- No
Degree Obtained*
College
Name and Location
Last Year Completed
Did you Graduate?
- Yes
- No
List Degree of Diploma
Course of Study
Class Rank
Additional Education, Training, Apprenticeship, or Journeyman
List Additional Education / Training
Special Skills
List Machinery You Can Operate
Office Skills
List Skills: Typing Speeds, Office Equipment
Special Licenses
List Any Special Licenses That You Hold, Year Issued and Expiration Date
Please List Any Additional Comments About Your Education and Training
Employment History
List all previous work history, starting with most recent/current employer, including Military Service
Current / Previous Employer
Are you Currently Working Here?*
- Yes
- No
Company Name*
Address
Phone
Position Title*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Salary Per WK/HR
Name and Title of Your Supervisor
Describe The Work You Did
Reason For Leaving
- Quit
- Layoff
- Discharged
- Currently Working
Explanation
Additional Comments About Your Employment Record
Why do you think you should be considered?
Previous Employer
Are You Currently Working Here?
- Yes
- No
Company Name
Address
Phone
Position Title
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Salary Per WK/HR
Name and Title of Your Supervisor
Describe The Work You Did
Reason For Leaving
- Quit
- Layoff
- Discharged
- Currently Working
Explanation
Previous Employer
Are You Currently Working Here?
- Yes
- No
List all previous work history, starting with most recent/current employer, including Military Service
Company Name
Address
Phone
Position Title
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Salary Per WK/HR
Name and Title of Your Supervisor
Describe The Work You Did
Reason For Leaving
- Quit
- Layoff
- Discharged
- Currently Working
Explanation
Previous Employer
Are You Currently Working Here?
- Yes
- No
Company Name
Address
Phone
Position Title
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Salary Per WK/HR
Name and Title of Your Supervisor
Describe The Work You Did
Reason For Leaving
- Quit
- Layoff
- Discharged
- Currently Working
Explanation
Previous Employer
Are You Currently Working Here?
- Yes
- No
Company Name
Address
Phone
Position Title
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Salary Per WK/HR
Name and Title of Your Supervisor
Describe The Work You Did
Reason For Leaving
- Quit
- Layoff
- Discharged
- Currently Working
Explanation
References
(Names of Persons - Not Relatives - Who Can Provide Professional and / or Character References)
Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Occupation*
Years Known*
Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Occupation*
Years Known*
Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Occupation*
Years Known*
In Case Of Emergency The Following Persons Should Be Notified
Name*
Phone*
Relationship*
Name*
Phone*
Relationship*
Resume
Upload Resume*
Max. file size: 40 MB.
Affidavit

I certify that the answers given by me to the foregoing questions and statement are true and correct without consequential omissions of any kind. I agree that the company shall not be liable in any respect if my employment is terminated because of the falsity of statements, answers or omissions made me in this Application for Employment. I authorize the companies, schools and other references named in this Application to provide information regarding me and to release personal, academic and other records concerning me.

As a condition of employment I agree that my employment with KTH is at will and either I or KTH may terminate my employment at any time, for any reason with or without notice. I understand that I must successfully pass a pre-employment drug test and undergo a post offer employment medical examination.

The use of this application form does not indicate there are positions open and does not in any way obligate the company.
Applicant's Name*
First Last
Person Completing This Form If Other Than Applicant
First Last
Do you Accept these Terms*
- I agree
Date*
MM slash DD slash YYYY
CAPTCHA
All Qualified Applicants will Receive Consideration Without Regard To Age, Handicap, Race, Color, Religion, Sex, National Origin or Military Status
Comments
This field is for validation purposes and should be left unchanged.

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Education and Training

High School

College

Additional Education, Training, Apprenticeship, or Journeyman

Special Skills

Office Skills

Special Licenses

Employment History

Current / Previous Employer

Previous Employer

Previous Employer

Previous Employer

Previous Employer

References

In Case Of Emergency The Following Persons Should Be Notified

Resume

Affidavit