Contact a Kiwi

general contact

apply for a job


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Please choose your reason for contacting us

from above before filling out the form.

Contact Information


APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer:

We are an equal opportunity employer. Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin or handicap.

Desired Work Location:

Personal Information:

First Date Available To Work:

Specify Weekly/Hourly Availability:

Monday:

-

Tuesday:

-

Wednesday:

-

Thursday:

-

Friday:

-

Saturday:

-

Sunday:

-

Months NOT Available To Work:

  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No

Employment History

In the following spaces give a complete record of your last 5 years of employment.

If you have a Resume, please answer yes to the question "Resume Attached".

Be sure that the information requested below not listed on your resume is entered here in the space provided.

  • Yes
  • No

Date Mo/Yr

Supervisor

    May we contact this employer?

  • Yes
  • No

Date Mo/Yr

Supervisor

    May we contact this employer?

  • Yes
  • No

Date Mo/Yr

Supervisor

    May we contact this employer?

  • Yes
  • No
  • Yes
  • No

Education Information

High School

  • Yes
  • No

College

  • Yes
  • No

Other

  • Yes
  • No

Attach A Resume Here:

PRE-EMPLOYMENT INQUIRY RELEASE

Pre-Employment screening:

All pre-employment screening will be performed pursuant to and in compliance with Federal and State laws. After the application is submitted, the hiring manager will make a determination as to their interest in interviewing the applicant for a position. After the interviewing process, a determination will be made whether to make an offer of employment.

Pre-Employment Inquiry Release:

The information provided in the Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future and I may be terminated with or without notice or cause. I also have the right to terminate my employment at any time for any reason I feel is appropriate. I agree and understand that if I accept employment, I voluntarily agree to waive any right to file an action or bring a claim for damages in any administrative or judicial forum; instead, if necessary, I will pursue such claims through the Company's Dispute Resolution Policy, including Mediation/Arbitration. I hereby authorize any past or present employer, administrator, personal history, workers' compensation claims, criminal history, or motor vehicle information to be released to the holder of this document. A facsimile (FAX) or copy of this authorization shall be as valid as the original. Permission is granted for information to be released by any state agency or from any Consumer Credit Reporting Agency. The information obtained from these reports will only be used for assistance in the hiring decision and will not be disclosed to any other person. I agree and understand any offer of employment I may receive is contingent upon mu successful completion of the Company's pre-employment screening.

THANK YOU AND WE LOOK FORWARD TO SPEAKING TO YOU SOON!

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