Full Name

Email Address

Phone Number

Are you 18 years or older? Are you 18 years or older? Yes No

Birth Date (mm/dd/yyyy)

Present Address

City

State

Zip Code

Position Desired:

Date you can start:

How did you learn of this position? How did you learn of this position?NewspaperWebsiteBillboardCurrent EmployeeEmployment AgencyOther

Have you ever applied before? Have you ever applied before? Yes No

Highest Level of Education Completed: Highest Level of Education Completed:High School DiplomaGEDCollege/UniversityTrade SchoolOther

Service Record Service Record Currently Serving Previously Served No Prior Service

Current or Most Recent Employer

Employer Address

Employer Telephone Number

Employer City, State, Zip

Dates of Employment (From/To)

Name of Immediate Supervisor

Pay

Position / Title

Reason for Leaving

May we contact? May we contact? Yes No

Prior Employer

Employer Address

Employer City, State, Zip

Employer Telephone Number

Name of Immediate Supervisor

Dates of Employment (From/To)

Position / Title

Pay

Reason for Leaving

May we contact? May we contact? Yes No

Reference Name

Reference Telephone Number

Relation to Reference

Reference Name

Reference Telephone Number

Relation to Reference

Conviction Record: A conviction record may not necessarily bar employment. Factors such as age, time of the offense, seriousness and nature of violation, as well as rehabilitation will be taken into account. Have you ever been convicted of a felony or convicted in a military court martial? Conviction Record: A conviction record may not necessarily bar employment. Factors such as age, time of the offense, seriousness and nature of violation, as well as rehabilitation will be taken into account. Have you ever been convicted of a felony or convicted in a military court martial? Yes No

Nature of Offense (if applicable)

Location (if applicable)

Date (if applicable)

It is the policy of Kensington HPP, Inc. to afford equal employment opportunity to all qualified applicants and employees without regard to race, religion, age, sex, color, national origin, physical or mental handicap, or status as a disabled veteran. This policy applies to all conditions, circumstances and privileges of employment, including but not limited to the following: hiring, upgrading, demotion, transfer, layoff or termination, rate or compensation, recruitment and recruitment advertising, and selection for training, including apprenticeship and on-the-job training. It is the policy of Kensington HPP, Inc. to afford equal employment opportunity to all qualified applicants and employees without regard to race, religion, age, sex, color, national origin, physical or mental handicap, or status as a disabled veteran. This policy applies to all conditions, circumstances and privileges of employment, including but not limited to the following: hiring, upgrading, demotion, transfer, layoff or termination, rate or compensation, recruitment and recruitment advertising, and selection for training, including apprenticeship and on-the-job training. I Understand

I hereby certify by affixing my signature below that the facts set forth in this application are true and complete to the best of my knowledge. I understand that if I am employed any false statements of this application may result in my dismissal at any time. I hereby certify by affixing my signature below that the facts set forth in this application are true and complete to the best of my knowledge. I understand that if I am employed any false statements of this application may result in my dismissal at any time. I Understand

Kensington HPP, Inc. is authorized to investigate my personal, financial and credit records through any agency of its choice. I understand that proof of authorization for employment under the Immigration Reform and Control Act of 1986 is required before employment. I understand that neither Kensington HPP, Inc. acceptance of this application nor any future employment shall become the basis for of form any port of employment contract. Kensington HPP, Inc. is an "at-will" employer. You may resign at any time for any reason and Kensington HPP, Inc. specifically reserves the right to terminate any employee for any reason at any time in accordance with state and federal law. Kensington HPP, Inc. is authorized to investigate my personal, financial and credit records through any agency of its choice. I understand that proof of authorization for employment under the Immigration Reform and Control Act of 1986 is required before employment. I understand that neither Kensington HPP, Inc. acceptance of this application nor any future employment shall become the basis for of form any port of employment contract. Kensington HPP, Inc. is an "at-will" employer. You may resign at any time for any reason and Kensington HPP, Inc. specifically reserves the right to terminate any employee for any reason at any time in accordance with state and federal law. I have read and fully understand and agree to comply with all conditions stated in this Employment Application

Type Full Name

Date