CAREERS

First Name*

Last Name*

Address**

City*

State/Zip Code*

Email**

Phone**

Position Appling For?Licensed ElectricianCDL A Driver (Current)Construction Worker (1yr experience required)Heavy Equipment OperatorAdministration

Do You Have Reliable Transportation
---YesNo

Are you willing to take a pre-employment drug-screening test?
---YesNo

Education
GEDHigh School DiplomaAssociate DegreeBachelor DegreeMaster DegreeOther

Educationmessage

WORK HISTORY

List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give the firm name and supply business references. PLEASE GIVE MONTH AND YEAR.

WorkHistory

REFERENCES

Give three supervisors/managers names with contact information.

Reference

Use the space below to describe WHY you are interested in working for K & W Fueling Systems. List those skills and abilities that you feel qualify you for a position with us.

Why intrested

AFFIDAVIT

I certify that the answers given by me to the forgoing questions and statements are true and correct without any consequential omissions of any kind whatsoever. I understand that any misleading or incorrect statements may render this application void and, if employed, would be cause for my termination. I further agree that you shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools or person named above to give any information regarding my employment, character, and qualifications and hereby release said companies, schools or persons from all liability for damage for issuing this information. I further understand that the taking of a drug tests are a condition of employment and the refusal to take such tests when asked will subject me to termination. I also understand that my employment is at will.