Application For Employment
(Applicants may be tested for Illegal Drugs)

KLC Underground Inc.
16761 E. HOLLYHILL
PLANTERSVILLE, TX  77363
Phone: 936-894-2633  Fax: 936-894-9862

After completing all applicable fields, click Print at the bottom of the page,
Sign and Mail or Fax to us.
 

 Date:
Name:
   First
   Middle
   Last
   Maiden
Present
Adddress:
   Street
   City
   State
   Zip

How Long:

Social Security Number:
Telephone: If under 18 please list age:
Position applying for :   Salary Desired :
     (Be specific)
Days available for Work :
Mon Tues Wed
Thu Fri Sat
Sun No Pref.  
How many hours can you work Weekly :

Can you work Nights?   Yes:        No:
When Available for work?

Employment Desired : Full-Time Only Part-Time Only Full or Part Time

Education

Type of School Name Of School Location
(Mailing Address)		 # of Years Completed Major & Degree
High School

College

Business or
Trade School

Professional School

Have you ever been convicted of a crime?  No      Yes

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.


Do you have a Drivers License? Yes     No

Drivers License Number :      State of Issue :

Operator    Commercial (CDL)      Chauffeur     Expiration Date :

What is your means of transportation to work?

Have you had any accidents during the past three years?Yes     No
How many?
Have you had any moving violations during the past three years?Yes     No
How Many?

Personal References

Please list two references other than relatives or previous employers...

Name :

Position :

Company :

Address :		 Name :

Position :

Company :

Address :


An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Military Status

Have you ever been in the Armed Forces?  Yes     No

Are you now a member of the National Guard?Yes     No

Specialty :     Date Entered :  Discharge Date

 

Work Experience
Please list your work experience for the past five years beginning with your most recent job held.
If you were self-employed, give firm name. (Attach additional sheets if necessary)

Employer #1

Company :

Supervisor :

Address :

Phone #

Employment Dates:
  From :
         To :

Pay or Salary:
 Start :
   End :
 Reason for Leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company :
 

.......................................................................................................................................................................

Employer #2

Company :

Supervisor :

Address :

Phone #

Employment Dates:
 From :
       To :

Pay or Salary:
 Start :
   End :

 Reason for Leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company :
 

.......................................................................................................................................................................

Employer #3

Company :

Supervisor :

Address :

Phone #

Employment Dates:
 From :
       To :

Pay or Salary:
 Start :
   End :

 Reason for Leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company :
 

.......................................................................................................................................................................

Employer #4

Company :

Supervisor :

Address :

Phone #

Employment Dates:
 From :
       To :

Pay or Salary:
 Start :
   End :

 Reason for Leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company :
 

May we contact your present employer? Yes    No
Did you complete this application yourself?   Yes    No
If not who did? 

Office Only
Typing? No     Yes - WPM:

Personal Computer : No    Yes
                                     PC   MAC

 Word Processing : No    Yes

Other Skills :

 

PLEASE READ CAREFULLY
 .................................................................................................

APPLICATION FORM WAIVER

  In exchange for the consideration of my job application by KLC UNDERGROUND, INC. (hereinafter called “the Company”), I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of KLC UNDERGROUND, INC., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and KLC UNDERGROUND, INC. may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.
  I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.
  I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.
  I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
  I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

Signature of applicant _______________________________________  Date:______________

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Thank you for completing this application form and for your interest in our business.

You Must Sign This Application After Printing