Employment Application

EcoShield Windows

You must click the Submit Application button at the bottom when you finish or we will not receive the application

Kasson and Keller Corporation
Employment Application
Drug Free Work Place/Equal Opportunity Employer

We appreciate your interest in our Company and are sincerely interested in your qualifications.

Please complete all parts of this form and answer all questions accurately. Any false statements or omissions will prevent employment or cause dismissal if employed whenever same may be discovered. Applications are kept active for 180 days and must be renewed for further consideration.

PERSONAL INFORMATION

Date:

Name: Social Security #:

Present Address:

City: State: Zip:

Previous Address:

City: State: Zip:

Phone Are you 18 years or older?

EMPLOYMENT DESIRED

Desired Shift Schedule:

Desired job Date you can start Salary desired

Are you employed now? If so, may we inquire of your present employer?

Ever been employed by this company before? Where? When?

How did you hear about Kasson and Keller Corporation:

Ever applied to this company before? When? (Approximately)

EDUCATION

 Name & Location of schoolHighest Grade CompletedDid you GraduateSubjects Studied
High School
College
Trade, Business, Driving or Correspondence School

Specialized Skills (ie.: PC, Typing, Forklift, etc.)

SERVICE RECORD

Branch of Service Rank at Discharge
List Duties (include schools and training)
Reason for Leaving

REFERENCES

Give the names of three persons not related to you who are able to verify your employment and personal history

NameAddressRelationshipPhone No.

Have you ever been convicted of a felony or misdemeanor? lf yes please, explain:

The existence of a criminal record does not constitute an automatic bar to employment.

EMPLOYMENT EXPERIENCE

For full consideration enter all previous employment experience. Use of the statement "refer to resume" is not acceptable. Start with your present employer and list backward chronologically in order.

Do you have employment experience?

Employer: Phone: Work Performed:
Address: Dates employed: Mo./Yr.
From:
To:
Job Title: Hourly Rate/Salary:
Starting:
End:
Supervisor:
Reason for Leaving:
Employer: Phone: Work Performed:
Address: Dates employed: Mo./Yr.
From:
To:
Job Title: Hourly Rate/Salary:
Starting:
End:
Supervisor:
Reason for Leaving:
Employer: Phone: Work Performed:
Address: Dates employed: Mo./Yr.
From:
To:
Job Title: Hourly Rate/Salary:
Starting:
End:
Supervisor:
Reason for Leaving:
Employer: Phone: Work Performed:
Address: Dates employed: Mo./Yr.
From:
To:
Job Title: Hourly Rate/Salary:
Starting:
End:
Supervisor:
Reason for Leaving:

AUTHORIZATION TO RELEASE EMPLOYMENT REFERENCE INFORMATION

I authorize the work and personal references listed in the application and any other individuals I may name to release any infomation conceming my previous employment and any pertinent infomation they may have, personal or otherwise, and release such parties from all the liability for any damages that may result from them furnishing such information to the Company.

Complete Name of Applicant: Date:


APPLICANT'S CERTIFICATION

I certify, to the best of my knowledge that all information given by me in this application is true and correct. I understand that false or misleading statements made by me or consequential omissions of any kind in the application process are sufficient cause for my not being hired or for my dismissal if I am already employed no matter what is discovered.

I understand and agree that if, in the opinion of the Company, the results of the criminal background screening are unsatisfactory, that an offer of employment that has been made may be withdrawn or my employment with Kasson and Keller Corporation may be terminated.

I understand that if hired, my employment is not for any definite period of time or successions of periods, is not govemed by any written or oral contract, and is considered an "at will" arrangement. This means I am free to temiinate my employment at any time for any reason, as is the Company so long as there is no violation of applicable federal of state law.

I understand that no Kasson and Keller Corporation representative other than the President or Executive Vice President, has the authority to make any promises or enter any agreement or contract that alters my at will status, and any such agreement must be in writing and signed by the President and Executive Vice President.

If Hired, I can provide proof of authorization to work in the United States.

I hereby acknowledge and agree that I have read and understand the terms of this application.

Complete Name of Applicant Date


You must fully and accurately complete this Employment Application. Incomplete applications will not be considered. If you do not have all the information with you at this time (dates, telephone numbers, addresses etc.) please keep this application and return it when it is completed.
Mail to: Human Resources, Kasson and Keller Corporation, School Lane, Fonda, New York 12068

This application will be considered active for 180 days. If you wish to be considered after that time you must complete a new Employment Application.


If you would like an email confirmation that your application was filed successfully, please enter your email address below. We will not use your email address for any purpose other than to contact you regarding your application.
Email Address:


Attach A Resume (optional)

You must click the Submit Application button above or we will not receive it

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EcoShield Window Systems, a quality product of Kasson and Keller Inc.
Manufacturing replacement windows, new construction windows, and storm windows since 1947

Product information on this site is subject to change without notice.
Please contact your dealer or customer service representative for the most up to date information.