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If you are under 18 years of age, can you provide required proof of your eligibility to work?* Yes No

Have you ever filled out an apllication with us before?* Yes No

Have you ever been employed with us before?* Yes No

Do any of your friends or relatives, other than spouse, currently work here?* Yes No

Are you currently employed?* Yes No

May we contact your present employer?* Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?* Yes No

Are you currently on "lay-off" status and subject to recall?* Yes No

Can you travel if job requires it?* Yes No

Date available for work?*

Desired salary range?*

Is there a specific position you are applying for?

Previous Kranichs employment dates:

If you applied previously, enter date:

Which location best suits you?

Altoona Atherton State College Downtown State College Johnstown

Which are you available to work?

Full Time Part Time Temporary Any

School Name	Course of Study	Years completed	Degree Diploma
High School
Undergraduate College
Graduate College
Other (Specify)
Describe any specialized training apprenticeship, skills and extra-curricular activities.
Describe any job-related training received in the United States Military.

Start with your present or last job. include any job related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer #1

Company Name

Employer Address

Employer's Phone

Job Title

Supervisor's Name

Reason for leaving?

Your salary

Employment start date

Employment end date

Job Duties / Work performed

Employer #2

Company Name

Employer Address

Employer's Phone

Job Title

Supervisor's Name

Reason for leaving?

Your salary

Employment start date

Employment end date

Job Duties / Work performed

Employer #3

Company Name

Employer Address

Employer's Phone

Job Title

Supervisor's Name

Reason for leaving?

Your salary

Employment start date

Employment end date

Job Duties / Work performed

List professional, trade, business, or civic activities and offices held

You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status

Other Qualifications - Summerize special job-related skills and qualifications acquired from employment or other experience.

State Any Additional Information you feel may be helpful to us in considering your application.

Reference #1

Name

Address

Phone

Reference #2

Name

Address

Phone

Reference #3

Name

Address

Phone

By submitting this application:

I understand that if Kranich’s Inc. hires me, my employment will be for no definite period, regardless of the period of payment of my wages. I also understand that I have the right to terminate my employment at any time with or without notice.

I understand that Kranich’s Inc. reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit an alcohol test and/or medical examination to the extent permitted by applicable law. I authorize the Company to investigate my driving record, my criminal record, and my credit history, and I understand that an investigative consumer report may be prepared whereby information is obtained through personal interviews with neighbors, friends, and others with whom I am acquainted. This inquiry would include information as to my character, general reputation, personal characteristics, and mode of living. I understand that I have the right to make a written request with a reasonable period of time to receive additional information about the nature and scope of this investigation.

I grant the Company authority to contact my previous employers and I authorize those employers to disclose to the Company all records and other information pertinent to my employment with them. I also authorize the Company to provide truthful information concerning my employment with the Company to my future prospective employers and I agree to hold the Company harmless for providing such information.

I certify that all of the information that I provided on this application and in any interviews will be true and accurate. I understand that if I am employed and any such information is later found to be false or misleading in any respect, I may be immediately dismissed.

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Kranich's Inc. is an Equal Opportunity Employer

Employer #1

Employer #2

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Reference #1

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