Successful Job Application Submission

First Name*

Middle Name*

Last Name*

Email*

Phone*

Position of Interest*

How many hours can you work per week?*

Date Available to Work? (If immediately put today's date)*

Rate of Pay Expected*

Have you worked for McKinnis in the past?*

Yes
No

Are you currently employed?*

Yes
No

Are you at least 18 years old?*

Yes
No

Do you have a valid driver's license?*

Yes
No

Education

Please list the highest grade completed in H.S., and please list any college degrees.

Education Information*

Do you speak, write or understand any foreign languages?*

Yes
No

If you answered yes to the above question, please list the languages here:*

Employment Information

List below all present and past employment, starting with your most recent employer. Account for periods of unemployment. You must complete this section even if attaching a resume. If you don't have 2 previous employers please put NA for all the fields.

Name of Employer 1

Start with you most recent employer. If you do not have any recent employment put "NA" for all of the fields.

Name of Employer 1*

Address of Employer 1*

Telephone of Employer 1*

Supervisor's Name - Employer 1*

Position and Duties - Please explain (Employer 1)*

Start Date to End Date (If still employed there put today's date.)*

Employer 1 Start and End Date

Reason for Leaving - Employer 1

Name of Employer 2

If you do not have a 2nd company to list please put NA in the fields.

Name of Employer 2*

Address of Employer 2*

Telephone of Employer 2*

Supervisor's Name - Employer 2*

Position and Duties - Please explain (Employer 2)*

Start Date to End Date (If still employed there put today's date.)*

Employer 2 Start and End Date

Reason for Leaving - Employer 2

Employment Information (Unemployment, etc.)

Please use this area to explain any periods of unemployment and any other information you wish to share.

References

Please list work references below. (Please do not include friends or family members.)

Information to include: Name, Title, Place of Employment, Phone, and Email Address.*

List above 3 people not related to you who have knowledge of your work performance within the past 3 years.

Location of Position Preferred - Blair, Omaha, Lincoln, Norfolk

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Comments

Job Application

Thank you for considering mckinnis!

Required*

McKinnis Employment Application

Education

Employment Information

Name of Employer 1

Name of Employer 2

References