Killian Group of Companies - Job Opportunities

	Employment Application

Required Fields are indicated by an asterisk (*)
* Name:
* Address:

* City:
* State:	* Zip Code:
Country:
* Home Phone:	( )
Work Phone:	( ) Ext:
E-mail address:
May we contact you at work?	Yes No
Please indicate the position you are applying for.
* Resume: Please paste your resume below, ensuring your name and address appear above your resume text in this box. If you do not have a resume, please type in your educational and employment history.

Cover Letter:

Have you applied for any other position at the Killian Group of companies within the past year? Yes No
Current Salary
Agreement I certify that the statements made in this application are correct and complete to the best of my knowledge. I understand that false or missleading information may result in termination of employment. I authorize The Killian Group of Companies to conduct a background check and run an MVR history so that a hiring decision may be made

You May You may Not conduct a background check and run an MVR history

I also authorize The Killian Group of Companies to conduct a reference check so that a hiring decision may be made, In the event that The Killian Group of Companies is unable to verify any reference stated on this application, it is my responsibility to furnish the necessary documentation.

You May You may Not contact my present employer
You May You may Not contact the schools I have attended for the release of my educational records.

Signed: Dated: Please fill in your name and date if you agree to this aggreement.
Disclaimer If accepted for employment with The Killian Group of Companies I agree to abide by all of its policies and procedures. If employed, I understand that I may terminate my employment at any time without notice or cause, and that the Employer may terminate or modify the employment relationship at any time without prior notice or cause. In consideration of my employment, I agree to conform to the rules and regulations of the Employer, and I understand that no representative of the Employer, other than the President or Human Resource Officer, has any authority to enter into any agreement, oral or written, for employment for any specified period of the time or to make any agreement or assurances contrary to this policy. If employed, I understand that my employment is for no definite period of time, and if terminated, the Employer is liable only for wages and benefits earned as of the date of termination.

Signed: Dated: Please fill in your name and date if you understand and agree to this disclaimer.

EQUAL OPPORTUNITY EMPLOYER The Killian Group provides equal employment opportunities to applicants without regard to race, age, color, physical or mental handicap, military service record, religion, sex or national origin.

2664 E. Kearney · Springfield, MO 65803 · Phone: (417) 883-1204 Fax: (417) 887-7338