KCAC Application - KCAC Aviation

Position You Are Applying For:

Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Phone

Are You 18 Years or Older?

Currently Employed

If employed may we inquire of your present employer?

Have you ever worked for a Peterson Mfg. company before?

If you ever worked for a Peterson Mfg. company before, please answer the following three questions. If you have not worked for a Peterson Mfg. company before please reply with an N/A

for Date: Did

Which Peterson Mfg. Company were you employed by?

Approx. dates of employment?

Which Location (city) were you employed in?

Referred By:

Relationship:

Grammar School:

Years Attended:

Did you Graduate:

High School:

Years Attended:

Did you Graduate?

Education

College:

Years Attended:

Did you Graduate?

Major:

Trade or Buisness School:

Years Attended:

Did you Grduate?

Subjects Studied:

Subjects of Study or Reasearch Work:

Special Skills:

Activities (Civic, Athletics, etc):

U.S. Military Service:

Rank:

Status in National Guard or Reserves:

Former Employers

Name & Address of Employer:

Start Date:

End Date:

Reason for Leaving:

Postion:

Salary:

Name & Address of Employer:

Start Date:

End Date:

Reason for Leaving:

Postion:

Salary:

Name & Address of Employer:

Start Date:

End Date:

Reason for Leaving:

Postion:

Salary:

Name & Address of Employer:

Start Date:

End Date:

Reason for Leaving:

Postion:

Salary:

Reference:

Name

Phone

Relationship:

Year Acquainted:

Name (copy)

Phone (copy)

Single Line Text (copy)

Name (copy)

Phone (copy) (copy)

Single Line Text (copy) (copy)

Upload Resume:

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I understand that a pre-employment drug test must be successfully completed before further employment activity may continue. If employed, I understand that I will be subject to drug/alcohol policies and practices as are other associates. These may include but are not limited to for cause testing, random testing and annual testing. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigations of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause.