KLM Employment Application

Applicant Information
Full Name: Date:
Last, First, M.I

Address:
Street Address Apt/Unit#

City State Zip Code

Phone: Email:

Date Available: Desired Wage/Salary:

Position Applied for:

SSN:

Preferred Communication Method: Phone Email Mail

Have you ever worked for KLM? Yes No

If yes, when and what position?

Education
# of years Did you
School Name Location completed Major or Degree graduate?

References
Please list three professional references

Full Name: Title:

Company: Phone:

Address:
Full Name: Title:

Company: Phone:

Address:

Full Name: Title:

Company: Phone:

Address:

Previous Employment
Company: Phone:

Address: Supervisor:

Your Job Title:

Starting Wage/Salary: Ending Wage/Salary:

Responsibilities:

Reason for leaving:

May we contact your previous supervisor for a reference? Yes No

Company: Phone:

Address: Supervisor:

Your Job Title:

Starting Wage/Salary: Ending Wage/Salary:

Responsibilities:

Reason for leaving:

May we contact your previous supervisor for a reference? Yes No

Company: Phone:

Address: Supervisor:

Your Job Title:

Starting Wage/Salary: Ending Wage/Salary:

Responsibilities:

Reason for leaving:

May we contact your previous supervisor for a reference? Yes No

Military Service
Branch:

Rank at Discharge: Type of Discharge:

If other than honorable, explain:

Optional Additional Information

Please list other qualifications, hobbies, or interests below

Notice
A criminal background check may be conducted after an applicant has been made an offer of employment.

Disclaimer and Acceptance

I certify that my answers are true and complete to the best of my knowledge. If this application leads to
employment, I understand that false or misleading information in my application or interview may result in my
release. This application does not constitute an employment contract for any term of employment.

Signature: Date: