Careers

Application for Employment

We consider applicants for all positions without regard to race, color, religion,sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.

Kingmor job application

Updates

Personal information, job selection
Employment information
Education & References
Employment history
Signature

Kingmor location

Which position are you applying for?

First Name

Middle Name

Last Name

Address

City

State

Zip Code

Phone/Mobile number

Birthdate

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

Have you ever filed an application with us before?

Yes

If yes, give date:

Have you ever been employed with us before?

Yes

If yes, give dates:

Are you currently employed?

Yes

May we contact your present employer?

Yes

Are you prevented from lawfully becoming employed because of Visa or Immigration Status?

Yes

On what date would you be available to work?

Are you available to work (select all that apply):

Full Time

Part Time

Shift Work

Temporary

Are you currently on lay-off status and subject to recall?

Yes

Can you travel if a job requires it?

Yes

Have you ever been convicted of a felony? Conviction will not necessarily disqualify an application from employment.

Yes

If yes, please explain:

Driver's License number

State

Expiration date

In case of an emergency, notify:

Emergency contact name

Emergency contact address

Relation

Emergency contact phone:

Education

High school name & location

High school years completed

Describe High school course of study

High school diploma/degree

Other training or skills received in High school

College name & location

College years completed

Describe college course of study

College diploma/degree

Other training or skills received in college

Other schooling name & location

Other schooling years completed

Describe other schooling course of study

Other schooling diploma/degree

Other training or skills received in other schooling

List any other information related to education you feel may be helpful

References

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

Reference 1 - Name, address, phone number

Reference 2 - Name, address, phone number

Reference 3 - Name, address, phone number

Have you ever had any job-related training in the United States military?

Yes

If yes, please describe

Are you physically or otherwise unable to perform the duties of the job for which you are applying?

Yes

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicated race, color, religion, gender, national origin, handicap or other protected status.

Employer (1)

Employer (1) Address

Employer (1) Phone

Job Title (1)

Supervisor (1)

Dates employed (1)

Start date (1)

End date (1)

Hourly Rate/Salary (1)

Starting hourly rate/salary (1)

Ending hourly rate/salary (1)

Reason for leaving (1)

Employer (2)

Employer (2) Address

Employer (2) Phone

Job Title (2)

Supervisor (2)

Dates employed (2)

Start date (2)

End date (2)

Reason for leaving (2)

Employer (3)

Employer (3) Address

Employer (3) Phone

Job Title (3)

Supervisor (3)

Dates employed (3)

Start date (3)

End date (3)

Reason for leaving (3)

Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days.

Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an at will nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

It is further understood that this at will employment relationship may not be changed by any written
document or by conduct unless such change is specifically acknowledged in writing by an authorized
executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or
interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and
regulations or the employer.

Enter your name below to indicate agreement with the above Applicant's statement. This will serve as your signature for this application.

Today's date

Careers

Application for Employment

In case of an emergency, notify:

Education

References

Employment Experience

(800) 782-4474

(540) 433-0073

Mt. Crawford

Manassas

Hampton