Name (Last, First, Middle)

Phone Number

Email Address

Street/Mailing Address, City, State, Zip

Date you can start work

Hourly Pay Desired

Do you have a high school diploma or GED?

Yes
No

Are you authorized to work in the U.S. on an unrestricted basis?

Yes
No

Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)

Yes
No

If Yes to the above question, please explain

Qualifications (education or training you feel relates to the position that would help you perform the work, such as schools, colleges, degrees, etc.))

Special Skills (list any special skills or experience that you feel would help you in the position: leadership, organizations/teams, etc.)

References: please list 3 professional references not related to you. If you don't have 3 professional references, then list 3 personal unrelated references

Reference #1 (Name, Address/City/State, Phone, Relationship)

Reference #2 (Name, Address/City/State, Phone, Relationship)

Reference #3 (Name, Address/City/State, Phone, Relationship)

Work History: start with your present or most recent employment and work back

May we contact your present employer?

Yes
No
N/A

Job Title #1, Company, City/State/Zip, Duties, Supervisor's Name, Phone Number, Start Date, End Date, Reason for Leaving, Starting Salary, Ending Salary

Job Title #2, Company, City/State/Zip, Duties, Supervisor's Name, Phone Number, Start Date, End Date, Reason for Leaving, Starting Salary, Ending Salary

Job Title #3, Company, City/State/Zip, Duties, Supervisor's Name, Phone Number, Start Date, End Date, Reason for Leaving, Starting Salary, Ending Salary

Job Title #4, Company, City/State/Zip, Duties, Supervisor's Name, Phone Number, Start Date, End Date, Reason for Leaving, Starting Salary, Ending Salary

User Agreement

I certify that the facts set forth in this Application are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize KanView Glass to make an investigation of any of the facts set forth in the application and release KanView Glass from any liability. KanView Glass may contact any listed references on this application.

I certify that this application was completed by me, with my name and information listed above, and not by any other representation. 

I acknowlege and understand that KanView Glass is an "at will" employer. Therefore, any employee may resign at any time, just as KanView Glass may terminate the employement relationship at any time, with or without cause, with or without notice to the other party.

By continuing, you agree to the above statements.