Application for Employment

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It is the policy of Ka Lima O Maui, Ltd to seek and employ qualified personnel at all locations and facilities, and to provide equal employment opportunities for all applicants and employees in recruiting, hiring, placement, training, compensation and benefits, promotion, transfer and termination. To achieve this, Ka Lima O Maui, Ltd is dedicated to take affirmative action to employ and advance in employment qualified individuals with disabilities, disabled veterans, veterans of the Vietnam era and veterans of covered campaigns.
Position(s) Applied For
Date of Application
How did you learn about us?
- Advertisement
- Employment Agency
- Relative
- Friend
- Inquiry
Name
First Middle Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone

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Education
Schools Attended
- High School
- Undergraduate College
- Graduate/Professional
- Other (Specify)
High School
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Course of study
Number of years completed
Diploma/Degree
Undergraduate College
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Course of study
Number of years completed
Diploma/Degree
Graduate/Professional
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Course of study
Number of years completed
Diploma/Degree
Other (Specify)
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Course of study
Number of years completed
Diploma/Degree

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Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employment History (Select number of previous employers)
- None
- 1
- 2
- 3
- 4
Employer 1
Employer
Dates Employed - From
Dates Employed - To
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Reason for leaving
Work performed
Employer 2
Employer
Dates Employed - From
Dates Employed - To
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Reason for leaving
Work performed
Employer 3
Employer
Dates Employed - From
Dates Employed - To
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Reason for leaving
Work performed
Employer 4
Employer
Dates Employed - From
Dates Employed - To
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Reason for leaving
Work performed
Include an explanation of any gaps in employment.
Comments: Include explanation of any gaps in employment.

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Describe any specialized skills, training, apprenticeships and extra-curricular activities.
Describe any job-related training recieved in the United States military.
List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
Additional Information
Other Qualifications: Summarize special job-related skills and qualifications acquired from employment or other experience.
Production/Mobile Machinery (list)
Other Skills (list)
State any additional information you feel may be helpful to us in considering your application.
Can you perform the essential functions of the job for which you are applying with or without a reasonable accommodation?
- Yes
- No
Note to applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
References
Name
Phone
Name
Phone
Name
Phone

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I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization if of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
Signature
It is the policy of Ka Lima O Maui, Ltd to seek and employ qualified personnel at all locations and facilities, and to provide equal employment opportunities for all applicants and employees in recruiting, hiring, placement, training, compensation and benefits, promotion, transfer and termination. To achieve this, Ka Lima O Maui, Ltd is dedicated to take affirmative action to employ and advance in employment qualified individuals with disabilities, disabled veterans, veterans of the Vietnam era and veterans of covered campaigns.
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Step 1 of 6

Education

High School

Undergraduate College

Graduate/Professional

Other (Specify)

Employment Experience

Employer 1

Employer 2

Employer 3

Employer 4

References