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Home
Horticulture Equipment
Auto Seeder
Flat Filler
Lil Peat
Continuous Potting System 1500
Bale Processor
Batch Mixers
Transplanting Conveyor
Water Chamber
Replacement Parts
Contact Us
About Us
Employment
Employment Application
KALCO CORPORATION EMPLOYEMENT APPLICATION
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Please enable JavaScript in your browser to complete this form.
Position Applied For
EMPLOYEE INFORMATION
Name
*
First
Middle
Last
Telephone
*
Alternate telephone
Email
*
Address:
Are you able to prform the essential functions of the position with or without to accommodations?
Yes
No
If necessary for the job are you older than:
14
15
16
18
19
21
(Check one)
I am legally elegible for employment in US?
Yes
No
I am seeking a permanent position:
Yes
No
I will be able to report to work
days after being notified i am hired
If necessary for the job, I am able to:
Work overtime?
Yes
No
Provide a valid Drivers License?
Yes
No
If so, fill out the following:
Issuing state:
Type:
Endorsement(s):
Hazardous Material
Passengers
Tankers
Thank with Hazardous Material
Scool Bus
Double/Triple trailers
Work the following shifts: (check all that apply)
Any
Day
Night
Swing
Rotating
Split
Graveyard
Other:
EMPLOYMENT HISTORY
List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 year history recommended.
Employer name and address
Position title/duties, skills:
Reason for leaving:
Pay:
Per:
Start date:
End date:
Supervisor:
Supervisor Telephone:
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Employer name and address
Position title/duties, skills:
Reason for leaving:
Pay:
Per:
Start date:
End date:
Supervisor:
Supervisor Telephone:
----------------------------------------------------------------
Employer name and address:
Position title/duties, skills:
Reason for leaving:
Pay:
Per:
Start date:
End date:
Supervisor:
Supervisor Telephone:
----------------------------------------------------------------
Employer name and address:
Position title/duties, skills:
Reason for leaving:
Pay:
Per:
Start date:
End date:
Supervisor:
Supervisor Telephone:
Summarize other employment related to this job:
EDUCATION
High school
Institution name
Years completed
Graduate or degree
Field of study
College / University
Institution name
Years completed
Graduate or degree
Field of study
Business / Technical
Institution name
Years completed
Graduate or degree
Field of study
Additional
Institution name
Years completed
Graduate or degree
Field of study
MILITARY
Are you a veteran?
Yes
No
Duty / specialized training:
SKILLS & QUALIFICATIONS
Other qualifications such as special skills, abilities or honors that should be considered:
Types of computers, software, and other equipment you are qualified to operate or repair:
Professional licenses, certifications or registrations:
Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer's attention:
Typing speed:
per minute
REFERENCES
List two personal references who are no relatives or former supervisor.
Name
Address
Telephone
Occupation
Years known
Name
Address
Telephone
Occupation
Years known
CONTACT
In case of accident or illness, please contact:
Name:
Daytime phone:
Address:
Relationship:
INFORMATION TO THE APPLICANT
As part of our procedure for processing your employment application, your personal employment references may be checked. If you have misrepresented or omitted facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms.
I accept
*
I understand and agree to the information show above
Equal Employment Opportunity
: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purpose only. This information is optional and failure to provide it will have no effect on your application for employment.
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