Application Form Application Step 1 of 4 25% Your Personal InformationYour Name First Middle Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Primary PhonePhone Mobile Landline Are you authorized to work in the United States? Yes No Are you 18 years or older? Yes No Have you previously worked at Kentwool? Yes No If yes, please provide dates of employment.Date Available to work MM slash DD slash YYYY List any friends or relatives that work here Employment DesiredPosition(s) applying forDesired PayType of work sought Full time Part time Overtime Other Shift desired 1st shift 2nd shift Please list any special training or skills (Languages, machine operation, etc.) EducationHigh School NameHigh School Location# of Years CompletedDid you Graduate Yes No Degree or DiplomaCollege/University NameCollege/University Location# of Years CompletedDid you Graduate Yes No Degree or DiplomaOther NameOther Location# of Years CompletedDid you Graduate Yes No Degree or Diploma Employment ExperienceEmployerTelephoneAddressEmployed-(Please indicate month and year From-To)Name of SupervisorReason for leavingState Job Title and Describe Work PerformedMay we contact this employer? Yes No Would you like to add a second Employment Experience Yes No EmployerTelephoneAddressEmployed-(Please indicate month and year From-To)Name of SupervisorReason for leavingState Job Title and Describe Work PerformedWould you like to add a third Employment Experience Yes No EmployerTelephoneAddressEmployed-(Please indicate month and year From-To)Name of SupervisorReason for leavingState Job Title and Describe Work PerformedDisclosure to Employment Application(Required)By signing the release below, I hereby authorize KENTWOOL. to contact any and all corporations, former employers, credit agencies, educational institutions, law enforcement agencies, city, state, county, and federal courts, military services to release information about my background including, but not limited to, information about employment, education, consumer credit history, driving record, criminal record and general public records history to KENTWOOL. I release from all liability all persons, companies, schools supplying such information. I indemnify KETNWOOL. against any liability, which may result from making such requests. This release shall remain in effect for the length of my employment. I understand and I may have a right to request additional disclosures regarding the nature and scope of the investigation. I agree and understand that any action or suit against the Company arising out of my employment or termination of employment, including, but not limited to, claims arising under State or Federal Civil Rights statues, must be brought within 180 days of the event, giving rise to the claims or be forever barred. I waive limitation periods to the contrary. I certify that I am not currently bound by any non-compete agreement or other restrictive covenant, which would disqualify or prevent me from becoming employed with the Company. If employed, I understand that if I am or become disabled and I’m in need of accommodations for employment under the Americans With Disability Act, I must notify the Company’s Human Resources Manager in writing. In consideration of my employment, I agree to conform to the rules and regulations of the company. I agree that my employment and compensation can be terminated at any time with or without cause and with or without notice at the option of either the Company or myself. I further acknowledge that no one has made any representations or statements contrary to the Company’s At Will policy to me, either orally or in writing, and I acknowledge and understand that no one has the authority to make such representation or statements to the contrary in the future. I certify the information in this application is complete and correct to the best of my knowledge and that all information I have provided in this application is accurate, true and correct. I understand that any falsification, misrepresentation or omission of this information is grounds for a rejection of this application or dismissal of any employment if I am hired. I certify I fully understand the terms of this Disclosure to Employment Application. I have reviewed and agree to the disclosure aboveWe appreciate your interest in KENTWOOLL. We will not discriminate based upon race, color, religion, sex, national origin, citizenship, age, height, weight, marital status, disability, familial status, veteran status or any other protected category, individuals with disabilities may request accommodation in the application process. We are an Equal Opportunity Employer.
