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Application for Employment

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Application for Employment

Please enter all required information.

Invalid text has been entered. Please correct all errors and click submit

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, sexual orientation or disability that does not prohibit performance of essential job functions. Kimball Union Academy hires only individuals that legally can work within the United States of America. All employees at Kimball Union Academy are at-will employees.

Kimball Union Academy is a tobacco/smoke-free campus.

*Indicates Required Field

PERSONAL INFORMATION

*First Name:

*Last Name:

*Date of Application:

*Address Line 1:

Address Line 2:

*City:

*State:

*Zipcode:

Cell Phone #:

Home Phone #:

Email Address:

*Position Applying For:

*Date You Can Start:

*Hours/Days Available:

Salary Desired:

*Are you legally able to be employed in the United States?

Yes

*Have you ever worked for Kimball Union Academy Before?

Yes

If Yes, please list dates & positions:

Relatives Employed by Kimball Union Academy:

EDUCATION

High School

Name of School:

Address:

Year of Graduation:

College

Name of School:

Address:

Year of Graduation:

Major/Degree:

Business/Trade School:

Name of School:

Address:

Year of Graduation:

Major/Degree:

Other Training or Experience:

Please outline your computer skills; Microsoft Word, Excel, etc.:

*Do you have a valid driver's license?

Yes

Driver’s license number:

State of Issue:

Date of Expiration:

Please list other licenses held:

WORK HISTORY

Please list your work experience beginning with your most recent job held. If you were self employed, give firm name.

Full Name of Company:

Street Address:

City/State/Zipcode:

Position Held:

Salary:

Employment Dates - From/To:

Reason for Leaving:

Name of Supervisor:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Full Name of Company:

Street Address:

City/State/Zipcode:

Position Held:

Salary:

Employment Dates - From/To:

Reason for Leaving:

Name of Supervisor:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Full Name of Company:

Street Address:

City/State/Zipcode:

Position Held:

Salary:

Employment Dates - From/To:

Reason for Leaving:

Name of Supervisor:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Other Employment Experience

Please List:

MILITARY

Have you served in the armed forces?

Yes

Specialty

Discharge Date:

Are you currently a member of the National Guard?

Yes

REFERENCES

Please list two; references other than relatives are preferred.

Name:

Position:

Company:

Address:

Phone Number:

Name:

Position:

Company:

Address:

Phone Number:

Federal and State laws prohibit hiring individuals under 18 if the job requires operation of certain kinds of equipment. In submitting this application, the undersigned agrees as follows;

I voluntarily give my consent for a thorough investigation of my past employment. If KUA is providing serious consideration to a job offer a series of background investigations are performed. This document provides authorization to perform those checks.

In the event of employment, I will comply with all written rules and regulations and other communications distributed by all employees.

By clicking submit, I certify that all statements made by me on this application are true and complete to the best of my knowledge and I have not withheld anything that, if disclosed, would affect this application unfavorably. I understand that if employed, any false statements on this application shall be sufficient cause for dismissal.

7 Campus Center Drive
Meriden NH, 03770
phone: (603) 469-2000
info@kua.org

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