Office, Sales, And Showroom Job Application Form - Kohl Wholesale

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OFFICE, SALES, AND SHOWROOM
130 Jersey St.
P.O. Box 1129
EMPLOYMENT
Quincy, IL 62306
APPLICATION
The company considers all qualified applicants without regard to race, color, religion, national origin, age, disability,
disabled veterans, veterans from the Vietnam War, or other legally protected status.
PLEASE READ CAREFULLY — PRINT CLEARLY — ANSWER ALL QUESTIONS
GENERAL INFORMATION
Date of Application:
/
/
Last Name
First Name
Middle Name
Present Address
City
State
Zip Code
Phone Number
Cell Phone Number
E-Mail Address
(
)
(
)
May We Contact You at Work?
If Yes, Best Time to Call You?
Work Phone Number
(
)
☐ Yes
☐ No
Position Applying For
Earnings Expected
Date Available to Work
/
/
Available to Work: ☐ Full Time ☐ Part Time ☐ 1
Shift (Day Shift) ☐ 2
Shift (Evening Shift) ☐ 3
st
nd
rd
Shift (Night Shift)
Referred By:
☐ Advertisement ☐ Kohl Website ☐ Employee ☐ Relative ☐ Employment Agency ☐ Walk-In ☐ Other
WAREHOUSE/DRIVER APPLICANTS: All warehouse and driver applicants at Kohl Wholesale are required to have a class
‘A’ C.D.L. either before hire or within the first 75 days of employment. Also, a commercial driver’s license may be required
for specialized positions in the office.
Do you currently have a C.D.L. (commercial driver’s license)? ☐ Yes ☐ No
If so, what class is your C.D.L.? ☐ A ☐ B ☐ Other
If not, are you willing to get the class ‘A’ C.D.L. within the first 75 days as required? ☐ Yes ☐ No
Are you either a United States citizen or an alien authorized
If you are under 18, can you furnish a work permit?
to work in the United States? ☐ Yes ☐ No
☐ Yes ☐ No ☐ Not Applicable
Have you ever been employed with this company before? Yes
No
If yes, what department? ____________________
Date of Employment: From _____________ To _____________
Reason for Leaving? ___________________________________________________________________________________
Have you served in the United States Armed Forces?
Branch of Service:_______________ Date of Service: From______________ To ____________
***Kohl Wholesale reserves the right to conduct background checks on possible candidates for convictions of felony,
misdemeanor, and/or a crime that has not been expunged from applicant’s records. A conviction will not necessarily be a
bar to employment; factors such as age, time of the offense, seriousness, type of offense, and rehabilitation will be taken
into account.

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