Applicant Information
Applicant Name
Home Phone
Other Phone
Email Address
Current Address
Number and Street
City
State
Zip
How were you referred to Kinetics Industries?
Employment Positions
Position(s) applying for
Are you applying for:
Regular part-time work
Regular full-time work
What days and hours are you available to work
If hired, on what day can you start working?
Are you currently employed?
Are you currently on lay-off status and subject to recall:
Personal Information
Have you ever applied to / worked for Kinetics Industries before?
If hired, would you have transportation to / from work?
Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.)
If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?
If hired, are you willing to submit to and pass a controlled substance test?
(Note: Company complies with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)
Have you ever been convicted of a felony crime?
If yes, please give nature of crime:
Time:
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Additional Information
Are you a Veteran?
List completion of trade or industry training programs, professional membership(s), trade associations, certificates of completion or civil activities:
Additional employment related information / qualifications / awards / accomplishments:
Computer / CAD / Automation skills:
List trade skills:
Education
Please indicate your primary language:
Please indicate languages other than English that you speak, read or write
Employment History
Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?
References
List below three management persons who have knowledge of your work performance within the last four years. Please include professional references only.
Upload your resume:
I permit the company to examine my references and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.
I agree:
