EMPLOYMENT HISTORY - Begin with the Most Recent


Vocational/Technical/Special School From To Skill/Trade/License Degrees/Certificates Completion Date

Undergraduate/Graduate School From To Skill/Trade/License Degrees/Certificates Completion Date


Name Company/Supervisor Position Title Business Telephone Home Telephone


I understand that the information provided on this application will be used only for consideration of my employment at KLS . I affirm that the statements made on this application, including all statements concerning my former employment and education, are true and complete. I authorize KLS to investigate any statement contained in any part of this application. I understand that any false statement, omission of fact, or misrepresentation of facts on this application or other forms provided to KLS will be grounds for termination. I hereby authorize KLS and each former employer, except as indicated, and any person, firm, corporation, or educational institution given as a reference to answer all questions that may be asked and to give all information that may be sought concerning me, my work, habits, character,skills, level of education, or actions in any transaction.

I understand that completing this form does not constitute an offer of employment or an employment agreement between me and KLS.


Applicant Signature