Employment - ktmacenterprises

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NOW HIRING FOR THE FOLLOWING POSITIONS

Must be at least 21 years old and have a high school diploma or GED.

GENERAL LABORER

INSIDE/OUTSIDE SALES

Pressure Relief Valve Technician

Gas Pipeline Field Service Technician

Employment Application

Date *

Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

How long have you lived at this address? *

If less than 7 years, please list previous city and state.

Cell Phone *

Other Phone Number

Email Address

Birthdate *

Social Security Number

Position you are applying for: *

Date you are available to start work: *

Have you ever been convicted of a felony? *YesNo

If yes, please explain:

Driver's License Number:

Driver's License Issuing State:

Do you have a class A CDL? *YesNo

Have you had any auto accidents in the past 3 years? *YesNo

Have you had any moving violations in the past 3 years? *YesNo

Have you been convicted of a DWI or DUI in the past 5 years? *YesNo

If yes, please explain

Emergency Contact - Please include name, phone number, and relation

Please list 2 references - Do not use relatives of previous employers. *

Consent *

I understand that I will be required to take a pre-employment drug test.

Consent *

I understand that I will be subject to random drug testing if employed by KT MAC Enterprises, LLC.

Consent *

I consent to my Motor Vehicle Record being checked prior to employment.

Work History

Company Name: *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Employment Dates - Start & End date *

Job Title: *

Supervisor's Name *

Phone *

Reason for leaving - Be specific *

List duties performed, skills used or learned, advancements or promotions: *

Work History

Company Name: *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Employment Dates - Start & End date *

Job Title: *

Supervisor's Name *

Phone *

Reason for leaving - Be specific *

List duties performed, skills used or learned, advancements or promotions: *

Signature *

Jeremy & Katie McMillian

KT MAC Enterprises, LLC

507 Boone Road

Bryant, AR 72022

(800) 407-1479

kt-mac@ktmacenterprises.com