Key Exteriors, Inc.

Employment Application 
Applicant Information	
Full Name:				Date:		
	Last	First	M.I.	
Address:			
	Street Address	Apartment/Unit #	
				
	City	State	ZIP Code	
Phone:	(         ) 	E-mail Address:		
Date Available:		Social Security No.:		Desired Salary:	$	
Position Applied for:		
Are you a citizen of the United States?	YES
	NO
	If no, are you authorized to work in the U.S.?	YES
	NO
	
Have you ever worked for this company?	YES
	NO
	If so, when?		
Have you ever been convicted of a felony?	YES
	NO
		
If yes, explain:		
	
Education	
High School:		Address:		
From:		To:		Did you graduate?	YES
	NO
	Degree:		
College:		Address:		
From:		To:		Did you graduate?	YES
	NO
	Degree:		
Other:		Address:		
From:		To:		Did you graduate?	YES
	NO
	Degree:		
	
References	
Please list three professional references.	
Full Name:		Relationship:		
Company:		Phone:	(         )	
Address:		
Full Name:		Relationship:		
Company:		Phone:	(         )	
Address:		
Full Name:		Relationship:		
Company:		Phone:	(         )	
Address:		
	
Previous Employment	
Company:		Phone:	(         )	
Address:		Supervisor:		
Job Title:		Starting Salary:	$	Ending Salary:	$	
Responsibilities:		
From:		To:		Reason for Leaving:		
May we contact your previous supervisor for a reference?	YES
	NO
		
Company:		Phone:	(         )	
Address:		Supervisor:		
Job Title:		Starting Salary:	$	Ending Salary:	$	
Responsibilities:		
From:		To:		Reason for Leaving:		
May we contact your previous supervisor for a reference?	YES
	NO
		
Company:		Phone:	(         )	
Address:		Supervisor:		
Job Title:		Starting Salary:	$	Ending Salary:	$	
Responsibilities:		
From:		To:		Reason for Leaving:		
May we contact your previous supervisor for a reference?	YES
	NO

Military Service	
Branch:		From:		To:		
Rank at Discharge:		Type of Discharge:		
If other than honorable, explain:		
	
Disclaimer and Signature	
	
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.	
Signature:		Date: