Kegel's Produce : Employment Application

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Employment Application

Required field *

Personal Information

Position: *		Date Available:*
2^ndChoice:		Date Available:
First Name:*		Last Name:*
Address:		Address 2:
City:		State:
Zip:		Phone:*
E-mail:*

Are you still a student?
Will you have reliable transportation to work?
Have you ever been convicted of a felony?
If yes, explain fully:
What applicable skills do you have:
For driver applicants, what class license do you have:

Part Time Employees

Days & Hours Available

Sun	Mon	Tue	Wed

Thu	Fri	Sat

Total Hours Work Weekly

Work History

Begin with most recent -
Include any present employment

Company #1:
Company 1:
Position:
Reason For Leaving:
Address:
City:
State:
Supervisor’s Name:
Phone:
Worked From (mm/yy):
Worked To (mm/yy):
Weekly or Hrly Pay:

Company #2:
Company 2:
Position:
Reason For Leaving:
Address:
City:
State:
Supervisor’s Name:
Phone:
Worked From (mm/yy):
Worked To (mm/yy):
Weekly or Hrly Pay: