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Employment Applicationwebmaster2026-07-24T20:27:32-05:00

Employment Application

Name Fields*

First Name

Last Name

Email*

Phone Number*

Address Fields*

Street Address

City

State / Province

Zip / Postal Code

Position Applied for

Date Available

Are you a US Citizen?*

Yes No

If No, are you authorized to work in the US?*

Yes No

Have you worked for us before?*

Yes No

If yes, when?

Have you ever been convicted of a felony?*

Yes No

If yes, explain?

Education

High School

Address

City

State / Province

Did you graduate?

Yes No

College

Address

City

State / Province

Did you graduate?

Yes No

Other

Address

City

State / Province

Did you graduate?

Yes No

References

First Reference

First Name

Last Name

Relationship

Phone Number

Second Reference

First Name

Last Name

Relationship

Phone Number

Third Reference

First Name

Last Name

Relationship

Phone Number

Employment History

Company

Company Address

Street Address

City

State / Province

Zip / Postal Code

Company Phone

Supervisor

Job Title

From

To

Company

Company Address

Street Address

City

State / Province

Zip / Postal Code

Company Phone

Supervisor

Job Title

From

To

Company

Company Address

Street Address

City

State / Province

Zip / Postal Code

Supervisor

Company Phone

Job Title

From

To

Military Service

Branch of Service

Service Begin Date

Service End Date

Rank at Discharge

Discharge Type

Signature & Submit

Keys Manufacturing Co., Inc.
13338 N. 1900th St.
Paris, IL 61944

Phone: 217-465-4001
Fax: 217-465-2123

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