Application For Employment

Please fill out the requested information below. If you need assistance filling out this application form or any phase of the employment process, please contact humanresources@kenforging.com. We make every effort to accommodate the needs of our applicants.

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. False information on this form, or during the interview process is grounds for terminating the application process or, if discovered after employment, terminating employment.

All applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to returning to work, you are required to submit to a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

Equal Opportunity Employer

Personal Information

Step 1 of 9

Full Legal Name

Please enter your full legal name.

Current Address

Please enter your current address.

City

Please enter your city.

State

Please enter your state.

Zip Code

Please enter your zip code.

Job Type (F/T, P/T, etc.)

Please select a job type.

How were you referred to us?

Please select a referral source.

Soc. Sec. #: (Last 4 Only)

Please enter exactly 4 numbers or letters.

Availability Date

Please select an availability date.

Are you 18 Years or Older?

Yes

No

Please select an option.

Have you been convicted of a felony? (Last 7 years)

Yes

No

Please select an option.

Job Availability & Schedule

Step 2 of 9

For which position are you applying?

Schedule Availability (Select any that apply)

Weekdays

Weekends

Evenings

Nights

Overtime

Other

Please select at least one option for your Availability.

Shift Preference (Select any that apply)

First

Second

Third

Please select at least one option for your Shift Preference.

Attach Your Resume (if you have one, Adobe .pdf or Microsoft Word .doc/.docx)

Contact Information

Step 3 of 9

Home Phone

Please enter a valid phone number (XXX-XXX-XXXX).

Cell Phone

Please enter a valid phone number (XXX-XXX-XXXX).

Other Phone

Please enter a valid phone number (XXX-XXX-XXXX).

Email

Please enter a valid email address.

Previous Street Address (if applicable)

Previous City, State & Zipcode (if applicable)

License & Security Info

Step 4 of 9

Do you have a valid license, if required?

Please select an option.

If you've had any moving violations, please describe 1,000 Characters Remaining

Do you have a CDL? (Select all that apply)

CDL-A

CDL-B

Air Brakes

Automatic Only

Manual and Automatic

None

Have you used any names, or Social Security numbers other than given above? If so, list.

Yes

No

Please select an option.

Education Information

Step 5 of 9

High School

Did You Graduate?

YES

NO

Location (City/State)

Degree Obtained

College/Trade School, Other

Did You Graduate?

YES

NO

Location (City/State)

Degree Obtained

Employment Information

Step 6 of 9

Please enter the information for each employer. We make every effort to contact previous employers that you have selected. Correct phone numbers are critical. For employers located outside of the U.S., a current FAX NUMBER is MANDATORY.

Most Recent Employer

Employer Name

Job Title

Phone Number

Please enter a valid phone number (XXX-XXX-XXXX).

Supervisor Name

Location (City, State)

Employed From

Employed To

Presently Employed?

YES

Salary / Wage

May We Contact this Employer?

Describe your job duties and reason for leaving 1,500 Characters Remaining

Second Most Recent Employer

Employer Name

Job Title

Phone Number

Please enter a valid phone number (XXX-XXX-XXXX).

Supervisor Name

Location (City, State)

Employed From

Employed To

Presently Employed?

YES

Salary / Wage

May We Contact this Employer?

Describe your job duties and reason for leaving 1,500 Characters Remaining

Third Most Recent Employer

Employer Name

Job Title

Phone Number

Please enter a valid phone number (XXX-XXX-XXXX).

Supervisor Name

Location (City, State)

Employed From

Employed To

Presently Employed?

YES

Salary / Wage

May We Contact this Employer?

Describe your job duties and reason for leaving 1,500 Characters Remaining

Work References

Step 8 of 9

Include only individuals familiar with your work ability. Please do not include relatives.

Reference 1

Name

Phone No.

Please enter a valid phone number (XXX-XXX-XXXX).

Address (City, State)

Years

Relationship

Reference 2

Name

Phone No.

Please enter a valid phone number (XXX-XXX-XXXX).

Address (City, State)

Years

Relationship

Certification and Release

Step 9 of 9

I certify that I have read and understand the applicant information above and the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any information. I authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever by issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

Applicant Signature

Please enter your signature.

Today's Date

Please select today's date.

Verify You're Not a Robot

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