Right Skills and Right Attitude. K-Staffing is a full-service staffing company providing innovative staffing solutions.
K-Staffing

Application Form

    Have you ever applied to / worked for (Our Company) before?
    YesNo

    Do you have any friends, relatives, or acquaintances working for (Our Company)?
    YesNo

    If hired, would you have transportation to/from work?
    YesNo

    Are you over the age of 18?
    YesNo

    If you are under the age of 18, do you have an employment/age certificate?
    YesNo

    If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?
    YesNo

    Have you been convicted of or pleaded no contest to a felony within the last five years?
    YesNo

    If hired, are you willing to submit to a controlled substance test?
    YesNo

    Are you applying for
    Temporary work – such as summer or holiday work? (required)
    YesNo
    Regular part-time work? (required)
    YesNo
    Regular full-time work? (required)
    YesNo

    If applying for temporary work, indicate your desired length of employment below:
    Start date:
    End date:

    Days/Hours Available
    MondayTuesdayWednesdayThursdayFridaySaturdaySunday

    Hours Available:
    from to

    Are you available to work overtime?
    YesNo

    If hired, on what date can you start working?

    Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation?
    YesNo
    If no, describe the functions that cannot be performed:

    High School:
    School Name:

    School Address:

    School City, State, Zip:

    Number of years completed:

    Did you graduate?
    YesNo
    Degree / Diploma earned:

    College / University:
    School Name:

    School Address:

    School City, State, Zip:

    Number of years completed:

    Did you graduate?
    YesNo
    Degree / Diploma earned:

    Vocational School:
    School Name:

    School Address:

    School City, State, Zip:

    Number of years completed:

    Did you graduate?
    YesNo
    Degree / Diploma earned:

    Military:
    Branch:

    Rank in Military:

    Total Years of Service:

    Skills/Duties:

    Related Details:

    Skills and Qualifications: Licenses, Skills, Training, Awards

    Do you speak, write or understand any foreign languages?
    YesNo
    If yes, list which languages(s) and how fluent you consider yourself to be:

    You should be prepared to detail each position for the past five years and account for any gaps in employment during that period.

    Are you currently employed?
    YesNo

    If you are currently employed, may we contact your current employer?
    YesNo

    Name of Employer:

    Name of Supervisor:

    Telephone Number:

    Business Type:

    Address:

    City, State, Zip:

    Length of Employment (Include Dates):
    from to

    Salary/Hourly Rate of Pay:
    $
    Position & Duties:

    Reason for Leaving:

    Name of Employer:

    Name of Supervisor:

    Telephone Number:

    Business Type:

    Address:

    City, State, Zip:

    Length of Employment (Include Dates):
    from to

    Salary/Hourly Rate of Pay:
    $
    Position & Duties:

    Reason for Leaving:

    May we contact this employer for references?
    YesNo

    Name of Employer:

    Name of Supervisor:

    Telephone Number:

    Business Type:

    Address:

    City, State, Zip:

    Length of Employment (Include Dates):
    from to

    Salary/Hourly Rate of Pay:
    $
    Position & Duties:

    Reason for Leaving:

    May we contact this employer for references?
    YesNo

    List below three persons who have knowledge of your work performance within the last four years. Please include professional references only.

    First and Last Name:

    Telephone Number:

    Email Address:

    Address:

    City, state, zip:

    Occupation:

    Number of Years Acquainted:

    First and Last Name:

    Telephone Number:

    Email Address:

    Address:

    City, state, zip:

    Occupation:

    Number of Years Acquainted:

    First and Last Name:

    Telephone Number:

    Email Address:

    Address:

    City, state, zip:

    Occupation:

    Number of Years Acquainted:

    Upload Resume (Accceptable file format: PDF, DOC, DOCX. Size Limit 2MB):

    Certification
    I certify that the information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment if I am hired. I authorize the verification of any and all information listed above.