Join Our Team - Kensington Glass Co, Inc.

Applicant Information

First Name *

Last Name *

Email *

Phone *

Street Address

City

State *

Zip Code

Length of Time at Address *

Driver's License *

Yes

No

Glazier's License *

Yes

No

Position Applying for * Position Applying for

Days and Hours Available to Work *

Are you currently legally authorized to work in the United States? *

Yes

No

If hired can you provide proof of age? *

Yes

No

Date available to start?

Employment History

Provide information for each position held in the past 5 years and explain any gaps in employment.

Employer *

Employer's Street Address

City *

State *

Zip Code *

Job Title *

Job Start Date *

Job End Date

Responsibilities/Duties *

Reason for Leaving *

May we contact your current/past supervisor? *

Yes

No

Supervisor's Name *

Supervisor's Phone # *

Supervisor's Email *

Add a Position Remove this Position

Education, Training, Experience

High School/Vocational School

School Name *

Street Address *

City *

State

Zip Code *

High School/Vocational School Start Date *

High School/Vocational School End Date *

High School /Vocational School Diploma Received?

Yes

No

High School / Vocational School Major Course of Study

College

College Name

Address

City

State

Zip Code

College Start Date

College End Date

College Degree Received

Yes

No

College Degree Type

College Major Course of Study

Military Branch

Military Rank

Military Start Date

Military End Date

List Skills, Licenses, Training Related to Military Position

Professional References

List 3 professional references from supervisors or co-workers who we may contact and have knowledge of your work performance within the last 5 years.

Reference's Full Name *

Reference's Phone Number *

Reference's Email Address *

Reference's Relationship to You *

Reference's Company *

Reference's Job Title *

Years of Shared Work Experience *

Add Reference Remove Reference

Certification

I certify that the statements made by me on this application are true and complete to the best of my knowledge and are made in good faith. I understand that if I knowingly make any misstatement of fact, I am subject to disqualification and dismissal and to such other penalties as may be prescribed by law or personnel regulations. All statements made on this application, including employment information, are subject to verification as a condition of employment. *

Date

Attach Resume and Cover Letter (Optional)

File Upload

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