Employment Name* First Last Store Applying For*Select a storeSpring GroveGettysburgBiglervilleLittlestownTaneytownAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Phone*Are you over 18 years of age?*YesNoHave you ever been convicted of a crime including non traffic summary offenses?*YesNoIf yes, please give a date, place, and disposition.Can you, upon employment, submit verification of your legal right to work in the U.S.?*YesNoHow did you hear about Kennie's?SourceName Please enter the source (for example: an existing employee, newspaper, or friend) and the sources name. You may include up to 5.Have you ever worked for Kennie's?*YesNoIf yes, please give a dates and location.Do you have access to adequate transportation to travel to and from work?*YesNoIf no, please explain.Type of work desired?Work AvailabilityAvailability*DayFromTo Please indicate what days and for which times you are available.Type of Employment DesiredPart-TimeFull-TimeEducationSelect Highest Grade Completed*Select a gradeElementary 1Elementary 2Elementary 3Elementary 4Elementary 5Elementary 6Elementary 7Elementary 8High School 9High School 10High School 11High School 12College 1College 2College 3College 4College 5College 6College 7College 8Name and Address of High SchoolCollege/UniversityNameCity & StateMajor/ GPADegreeDate Completed Other School/Training CoursesNameCoursesCertificateLengthDate Completed Employment RecordMost Recent CompanyDate StartedDate EndedCompany AddressJob TitleStarting Salary $Ending Salary $DutiesSupervisor Name First Last Reason for LeavingSecond Most Recent CompanyDate StartedDate EndedCompany AddressJob TitleStarting Salary $Ending Salary $DutiesSupervisor Name First Last Reason for LeavingThird Most Recent CompanyDate StartedDate EndedCompany AddressJob TitleStarting Salary $Ending Salary $DutiesSupervisor Name First Last Reason for LeavingHave you ever been disciplined or fired?YesNoIf yes, please describe.Employment ReferencesPast supervisors prefered.ReferencesName & OccupationCompanyPhone Number Certification and AuthorizationPlease read thoughtfully and carefully.I certify that the information contained in this application is correct, to the best of my knowledge and I acknowledge that Kennie's is relying on the accuracy of the information provided. I authorize Kennie's to verify the accuracy of the information provided herein, and I authorize former employers, educational institutions and credit agencies to release information concerning me to Kennie's. I also authorize Kennie's to give references and provide information about me in response to inquiries subsequent to my employment if hired. I understand that falsification, misrepresentation or omission of requested facts may result in denial of employment or, if employed, may result in immediate dismissal. I understand and agree that I must produce applicable documents showing that I am a United States Citizen or alien lawfully authorized to work in the United States, within the time frame specified by Kennie's, to meet the Immigration Reform and Control Act of 1986 requirements. If I fail to comply with any of the requirements set forth above, I understand that an offer of employment will be rescinded or my employment will be terminated. In consideration of my employment with Kennie's, I agree to conform to the Company's policies, rules and regulations. I understand and agree that my employment is at-will, and therefore, my employment and compensation can terminate, with or without cause, and with or without notice, at any time, at my option or at the Company's option. I further understand and agree that this at-will employment relationship as defined above will remain in effect throughout my employment with Kennie's. I also understand and agree that no one has the authority to promise me job security or continued employment, except the President of the Company in formal written agreement signed by both of us.Do you agree?* I agree By checking "I Agree" and submitting this employment application, I acknowledge that the information I have provided is accurate, that I have read the certification and agreement, and that I agree to abide by its terms.Electronic Signature*Please help us prevent spam by typing the letters into the field below.