Careers

Application Instructions

If you need help filling out this application form or for any phase of the employment process, please email sales@kenstruckrepair.com and every effort will be made to accommodate your needs in a reasonable amount of time.

Please read "APPLICATION NOTE" below.
Complete the entire application
Incomplete applications will not be processed. PLEASE NOTE "NOT APPLICABLE" IF NOT ANSWERING A QUESTION.
Provide only requested information. Failure to do so may result in disqualification of your application.

Personal Data

You must fully and accurately complete this application for employment. Incomplete applications will not be considered.

Today's Date *

Name *

Last

First *

First

M.I. *

M.I.

Phone Number *

E-mail Address *

Current Address *

Prior Address

Application Note

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness, or physical handicap, or the presence of disabilities. A conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of your job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

For which position are you applying? *

What date can you start? *

What category would you prefer *

Full-time

Part-time

Temporary

Labor pool

Please list:

*reasonable efforts will be made to accommodate sincerely held moral and ethical beliefs, (WI) religious beliefs and practices (All other States).

Job-related Skills

NOTE: Do not fill out any part of this section you believe to be non-job related.

If the job requires, do you have the appropriate valid drivers license?

Yes

Name on License

DL#

Type

State of issue

Have you had any moving violations within the last seven years?

Yes

Please describe

Please list any other skills, licenses or certificates that may be job-related or that you feel would be of value to this job or company.

Have you been given a job description or had the essential functions of the job explained to you?

Yes

Do you understand these essential functions?

Yes

Can you perform the essential functions of this job with or without reasonable accommodation?

Yes

End Section

Security

List states and counties of residence for the past seven years. *

Have you been convicted of a crime in the past seven years? If so, please describe in the boxes below. (Conviction will not necessarily be a bar to employment. In accordance with company policy and applicable state and federal laws, factors such as age at time of the offense, remoteness of offense time since last conviction, nature of the job sought and rehabilitation effort will be reviewed.) *

Yes

End Section

Section

Incident *

City/State *

Charge *

End Section

Previous Employers

PLEASE NOTE: Your application WILL NOT be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, correct telephone numbers of past employers are critical. Ask for a phone book or call information if necessary. FOR EMPLOYERS OUTSIDE THE U.S., A CURRENT FAX NUMBER IS MANDATORY.

Company Name *

City *

State *

Phone *

Fax

Date Started *

Date Left *

Job Title *

Immediate Supervisor *

Duties *

Reason for leaving *

End Section

References

Include only individuals familiar with your work ability. Do not include relatives.

Reference Name *

Daytime Phone *

Relationship *

Years Known *

Address *

End Section

Education

NOTE: Do not fill out any part of this section you believe to be non-job-related.

If your school records are under a different name than listed above, please enter that name:

High School

Name

City/State

Did you graduate?

Yes

Degree

College

Name

City/State

Did you graduate?

Yes

Degree

Other

Name

City/State

Did you graduate?

Yes

Degree

End Section

Resume & Cover Letter

Resume

End Section

Agreement

I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

Signature *

Date *

End Section

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Careers

Application Instructions

Personal Data

Application Note

Job-related Skills

Security

Section

Previous Employers

References

Education

Resume & Cover Letter

Agreement

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