New Hire Application — KT ELECTRIC INC. Scottsdale Arizona

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Application Form

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Date

YYYY

Employment Position

Position(s) applying for:

How did you hear about this position?

On what date can you start working if you are hired?

Personal Information

Are you a U.S. citizen or approved to work in the United States?

Yes

What document can you provide as proof of citizenship or legal status?

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

Education and Training

High School

Education and Training

College/University

Education and Training

Vocational School/Specialized Training

Military

Are you a member of the Armed Services?

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for Leaving

Previous Employment Cont.

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

AT-WILL EMPLOYMENT

The relationship between you and the Company KT Electric Inc. is referred to as "employment at will." This means if you are hired, that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Company. No representative of KT Electric Inc. has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment if hired is "at will" and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at will employment status, except for a written statement signed by you and the Company's President.

I Understand

I Do Not Understand