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

In case of an emergency, notify:



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

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.

Dates employed (1)

Hourly Rate/Salary (1)

Dates employed (2)

Dates employed (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.