Keystone Inspection Service - Application for Employment

-Employment Application-


Applicant Information
 
*First Name:    *Last Name: 
 
*Street Address: 
 
*City:  *State:         *Zip:   
 
*Home Phone:  -   Work Phone:  -
 
Cell Phone:  -   *Email: 
 
Position Desired
 
*Please Select: 
 
If other, Explain: 
 
High School Information
 
Name: 
 
Address: 
 
City:    State: 
 
Course of Study:    Did you graduate: 
 
College Information
 
Name: 
 
Address:    State: 
 
Course of Study:    Degree/Diploma: 
 
Previous Employment 1 (Most recent)
 
*Company: 
 
*Address: 
 
*City:    *State: 
 
*Supervisor:    *Supervisors Title: 
 
*Phone:  -  
 
*Start Date:    *End Date: 
 
*Job Description: 



















 
*Reason for leaving: 
 
Previous Employment 2
 
*Company: 
 
*Address: 
 
*City:    *State: 
 
*Supervisor:    Supervisors Title: 
 
*Phone:  -  
 
*Start Date:    *End Date: 
 
*Job Description: 
















 
*Reason for leaving: 
 
Previous Employment 3
 
*Company: 
 
*Address: 
 
*City:    *State: 
 
*Supervisor:    Supervisors Title: 
 
*Phone:  -  
 
*Start Date:    *End Date: 
 
*Job Description: 
















 
*Reason for leaving: 
 
 
References
 
*Name: 
 
*Address: 
 
*City:    *State: 
 
*Phone:  -   *Email: 
 
 
 
 
 
*Name: 
 
*Address: 
 
*City:    *State: 
 
*Phone:  -   *Email: 
 
 
 
 
*Name: 
 
*Address: 
 
*City:    *State: 
 
*Phone:  -   *Email: 
 
 
 
Available Start Date
 
Month         Day         Year   


AUTHORIZATION

The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

 
I Agree.
 
         

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