Join Our Team - K.E. Greene Mechanical and Hydronics

Personal Information

Candidate's Name:*

Address:*

Street Address City: State: Zip:

Phone Number:*

Email Address:*

Are you 18 years of age or older?*

yes
no

Are you either a U.S. citizen or an alien authorized to work in the U.S.?*

Yes
No

Have you ever worked or attended school under another name? If so, under what name?*

Yes
No

If so, under what name?*

Position Desired

Position:*

Start date available:*

Wage rate desired: $*

Hourly
Monthly
Annually

Do you prefer:*

Full-time
Part-time

If part-time, hours per week desired:*

Hours you are available to work:*

Days of week you are available to work:*

Are you able to work:*

Weekends
Holidays
Nights
Overtime
None

Have you worked for K.E. Greene before?*

Yes
No

If so, dates of employment?

Reason for leaving?

How did you learn about this opening?

Education

Type of School

Graduated?

Yes
No

Course of Study

Type of School

Graduated?

Yes
No

Course of Study

Type of School

Graduated?

Yes
No

Course of Study

Skills

Typing speed (WPM):

Are you experienced in using personal computers?*

Yes
No

What software experience do you have that would typically be used in the workplace? (e.g. Microsoft Word, Excel, Quickbooks, etc.)?

Work Experience (List all previous employment, most recent first.):

Employer:*

Phone:*

Address:*

Start date:*

End date:*

Position Held:*

Salary:*

Description of Duties:*

Employer:*

Phone:*

Address:*

Start date:*

End date:*

Position Held:*

Salary:*

Description of Duties:*

References (Identify three persons who know your work, most recent first.):

Name:*

Address:*

Phone:*

Business:*

Years Known:*

Name:*

Address:*

Phone:*

Business:*

Years Known:*

Name:*

Address:*

Phone:*

Business:*

Years Known:*

Authorization and Acknowledgements

I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.

Signature:*

Date

CAPTCHA

I have read and agree to these Authorization and Acknowledgements.

Employment

Employment

Application for Employment

Personal Information

Position Desired

Education

Skills

Work Experience (List all previous employment, most recent first.):

References (Identify three persons who know your work, most recent first.):