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Your Full Name*

Email*

Phone*

Address*

City*

State*

Zip*

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

Job Application

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Kranich's Inc. is an Equal Opportunity Employer

Employer #1

Employer #2

Employer #3

Reference #1

Reference #2

Reference #3