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106 Mactanly Place in Staunton, VA
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Home
About Us
Services
Portfolio
Safety
Careers
Contact
Employee Portal
Career Opportunities
with Kahn Company
Kahn Company Job Application
Kahn Company Employment Application
Contact Information
How were you referred to us?
*
What position are you applying for?
*
First Name
*
Middle Name
*
Last Name
*
Email Address
*
Home Phone
*
Alternate / Mobile Phone
*
Street Address
*
City
*
State
*
Zip Code
*
Available Start Date
*
Salary Requirement
If you are under 18 and we require a work permit, can you furnish one?
Yes
No
If no, please explain:
Have you ever worked for this company?
*
Yes
No
If yes, when?
Are you a citizen of the United States?
*
Yes
No
If not, are you legally allowed to work in the United States?
*
Yes
No
Type of employment desired:
*
Full-Time
Part-Time
Temporary
Seasonal
Have you ever pleaded "guilty" or "no contest" or been convicted of a crime?
*
Yes
No
If yes, give dates and details:
*
Answering “yes” to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the
violation, rehabilitation and position applied for will be considered.
Driver's License Number if applicable to position:
State:
Summarize your special skills or qualifications:
*
Previous Employment Experience
Current or Most Recent Employer
Address
Phone Number
Name of Immediate Supervisor
Position / Job Title
Dates of Employment
Responsibilities
Ending Salary
Reason for Leaving
May we contact for a reference?
Yes
No
Prior Employer #2
Address
Phone Number
Name of Immediate Supervisor
Position / Job Title
Dates of Employment
Responsibilities
Ending Salary
Reason for Leaving
May we contact for a reference?
Yes
No
Prior Employer #3
Address
Phone Number
Name of Immediate Supervisor
Position / Job Title
Dates of Employment
Responsibilities
Ending Salary
Reason for Leaving
May we contact for a reference?
Yes
No
Signature
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.
Signature of Applicant
*
Type Your Name Here
Date
*
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