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INFORMATION REQUEST FORM
Employment INQUIRies
MEMBERSHIP DIRECTORY

MAPS & DIRECTIONS



KG PRODUCTS

Compressed Air Power Systems
Nitrogen Systems
Electro Mechanical Power Systems
Air Movement Systems
Portable & Stationary Power Systems
Pumps & Pumping Systems
Blowers & Vacuum Pumps




Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
 
EDUCATION
High School Name
Location (City/State)
Last Year Completed:
Did You Graduate?
Major or Specialty
List Abilities, Activities,
Honors, Hobbies
COLLEGE
College Name
Location (City/State)
Last Year Completed
Did You Graduate?
Major or Specialty
List Abilities, Activities,
Honors, Hobbies
TRADE SCHOOL
Trade School Name
Location (City/State)
Last Year Completed
Did You Graduate?
Major or Specialty
List Abilities, Activities,
Honors, Hobbies
 
PAST EMPLOYMENT REFERENCES
Reference 1
From Date
To Date
Name
Address
Telephone Number
Job Title
Supervisor
Pay Rate
Reason for Leaving
Reference 2
From Date
To Date
Name
Address
Telephone Number
Job Title
Supervisor
Pay Rate
Reason for Leaving
Reference 3
From Date
To Date
Name
Address
Telephone Number
Job Title
Supervisor
Pay Rate
Reason for Leaving
Reference 4
From Date
To Date
Name
Address
Telephone Number
Job Title
Supervisor
Pay Rate
Reason for Leaving
 
MISC INFORMATION
I can begin working full-time on
I can work full-time until
I am available weekends beginning
I am unavailable weekends after
I will attend school in the fall
If yes, where?
I can work:
Saturday
Sunday
Part-time

*NOTE: Your availability dates are very important. Please give serious considerations to the dates you choose because they
will have a strong bearing on you application. Failure to comply with the dates you choose may affect future employment. status.

A LITTLE ABOUT YOURSELF
Are you employed elsewhere?
If so, where?
Do you have any special
abilities, awards, hobbies?
Do you have a valid driver's license?
Are you fluent in a language other than English?
If so, which?
In case of an emergency, who should we notify?
Name
Phone
Relationship
Address
Have you worked for us before?
If yes, when and who was your supervisor?
Reason for leaving?
 
You May Check My References  
You May NOT Check My References
I CERTIFY, by hitting 'Submit Form,' that this information is accurate and complete. Giving incomplete or false
information for employment is a serious matter and is grounds for dismissal and forfeiture of related benefits.
   
  Please enter these numbers to complete this request.
 
   

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