EmailMe Form - KIALOA Job Application

Full Legal Name *

First Last

Are You Over The Age of 18? *

Yes

No

Job(s) You Are Interested In *

Home Phone

### - ### - ####

Cell Phone

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

High School

College & Degree

Trade School / Professional Certifications

What related jobs have you held (dates if any)? What were your responsibilities? What tools did you use? What applicable certifications do you hold? *

Do you have reliable transportation? *

What shifts can you work (preference)? 1st (7am-3 pm), 2nd (2:45-11:15pm), or 3rd (10:45 Pm- 7:15am)? *

How long do you intend to be employed if hired? *

Do you know anyone that has worked or is currently working at Werner Paddles, KIALOA, or Jackson Kayak? Whom?

Please share your work references (name, their job title, phone number, and company).

Are you willing to submit to drug testing? *

Yes

No

Are you willing to submit to an extensive criminal background check? *

Yes

No

If hired, when can you start? *

MM / DD / YYYY

Please upload your resume and cover letter here if you would like.

Consent *

I attest that all information provided above is accurate.