APPLICATION FOR EMPLOYMENT

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Please complete entire application to ensure processing.

Personal Information

First Name A value is required.	Middle Name	Last Name A value is required.
Present Street Address	City	State	Zip Code
Daytime Phone A value is required.	Evening Phone	Email Address A value is required.Invalid format.	Referred by

Are you less than 18 years of age? Please select a valid item. Please select an item.

Are you legally eligible for employment in the U.S.? yes no

Have you been convicted of a felony in the last seven (7) years? yes no
If yes, list convictions that are a matter of public record (arrests are not convictions).
A conviction will not necessarily disqualify you for employment.

Employment Desired

Position

Location
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Salary Desired
A value is required.

Date You Can Start

Kinder’s general operating hours are Monday thru Sunday, 8:00 A.M.- 8:00 P.M.
Specify hours available for each day of the week

Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
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Have you ever worked for Kinder’s? yes no
If Yes, When?

Which Location?

Are you able to work overtime? yes no

Education

	Name and Address of School	Years Completed	Did You Graduate?	Subjects Studied and Degree Received
High School
College
Post College
Trade School

After employment, can you furnish documentation proving the legal right to remain and work in the United States. yes no

Name any friends or individuals you know who are presently employed by Kinder’s.

What method of transportation will you use?

How many days have you been absent in the past 12 months for any reason? (Please explain)

Former Employers

List below current and last three employers, starting with most recent one first.
Please include any non-paid/volunteer experience which is related to the job for which you are applying.
Please complete even if you attach a resume.

Present Employer Name and Address of Employer-Type of Business	Start Date End Date	Starting Salary / Hourly Rate Ending Salary / Hourly Rate	Position Average # of hours per week
Duties Performed	Supervisor's Name Phone #	May We Contact? yes no	Reason For Leaving

Previous Employer Name and Address of Employer-Type of Business	Start Date End Date	Starting Salary / Hourly Rate Ending Salary / Hourly Rate	Position Average # of hours per week
Duties Performed	Supervisor's Name Phone #	May We Contact? yes no	Reason For Leaving

Previous Employer Name and Address of Employer-Type of Business	Start Date End Date	Starting Salary / Hourly Rate Ending Salary / Hourly Rate	Position Average # of hours per week
Duties Performed	Supervisor's Name Phone #	May We Contact? yes no	Reason For Leaving

Previous Employer Name and Address of Employer-Type of Business	Start Date End Date	Starting Salary / Hourly Rate Ending Salary / Hourly Rate	Position Average # of hours per week
Duties Performed	Supervisor's Name Phone #	May We Contact? yes no	Reason For Leaving

References

Give below the names of three professional references, whom you have known at least one year.
Name	Address and Phone #	Business	Years Acquainted	How Do You Know This Person?

I hereby authorize Kinder’s to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Kinder’s to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of JR Kinder’s, Inc.. I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate Kinder’s to hire me. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Kinder’s at any time without prior notice for any reason.

Date

Signature
Type your First and Last name

WE ARE AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO HIRING A DIVERSE WORKPLACE.

COURTESY * SPEED * ACCURACY