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Name:*
E-mail:*
Phone:*
-
Address:*
Are you 18 Years of Age or Older?:*
Date You Can Start:*
Job You Are Applying For:*
Referred By:
Highest Level of Education Completed: *
If Technical Training or College Degree, Please Describe Below:
Have you ever applied or worked for Kuhn Construction?*
If Yes, When?
Are you licensed to operate a motor vehicle?*
Are you willing to work the hours you are assigned?*
Have you been convicted of an offense?*
Machine and Equipment Skills:*

EMPLOYMENT HISTORY
List your last three jobs, most recent job first

Name of Employer:
City, State
Position:
Employed From:
Employed To:
Final Salary/Hourly Wage:
Supervisor:
Full, Part Time or Temporary?
Reason for Leaving:
May We Contact This Employer?
Describe Your Job Duties:
Second to Last Job - Employer Name:
Second to Last Job - City, State:
Second to Last Job - Employed From When to When:
Second to Last Job - Reason for Leaving:
Third to Last Job - Employer Name:
Third to Last Job - City, State:
Third to Last Job - Employed From When to When:
Third to Last Job - Reason For Leaving:

REFERENCES
List three persons other than relatives who have definite knowledge of your qualifications.

Reference 1 Name:
Reference 1 Phone:
-
How Do You Know Reference 1?
Reference 2 Name:
Reference 2 Phone:
-
How Do You Know Reference 2?
Reference 3 Name:
Reference 3 Phone:
-
How Do You Know Reference 3?

By submitting this application I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

Word Verification: