Applicant Name (required)
Driver’s License# (required)
Date of Birth (required)
Address (required)
City (required)
State (required) —Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Zip Code (required)
Email (required)
Phone Number (required)
Date of Application
What position are you applying for? (required) —Please choose an option—Field Service TechnicianMechanicShop Helper/Laborer
How did you hear about K&M Portables?
If needed, are you available to work overtime? (required)
On what date can you start working if you are hired? (required)
Do you have reliable transportation to and from work? (required)
Do you have a commercial driver’s license (CDL)? (required)
Do you plan on working full time or part time? (required) —Please choose an option—Full-TimePart-Time
Salary Desired
Do you have any friends, relatives, or acquaintances working for K&M Portables, LLC? YesNo
If yes, state name & relationship
Are you 18 years of age or older? (required) YesNo
Are you a U.S. citizen or approved to work in the United States? (required) YesNo
What document can you provide as proof of citizenship or legal status?
Will you consent to a DOT physical? (required) YesNo
Will you consent to a mandatory controlled substance test? (required) YesNo
Do you have any condition which would require job accommodations? (required) YesNo
If yes, please describe accommodations required below.
Have you ever been convicted of a criminal offense (felony or misdemeanor)? (required) YesNo
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
Please list below any skills and qualifications you possess for the position for which you are applying:
Please list High School education including Name, City, State, Year Graduated
Please list College (if applicable) education including Name, City, State, Year Graduated
Please list Vocational School/Specialized (if applicable) training including Name, City, State, Year Graduated
Are you a member of the Armed Services?
What branch of the military did you enlist?
What was your military rank when discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position?
Employer #1 Name
Job Title
Supervisor Name
Employer Address
City, State and Zip Code
Employer Telephone:
Dates Employed
Reason for leaving
Employer #2 Name
Employer #3 Name
First Reference
Contact Information
Second Reference
Third Reference
If required, could you operate a pressure washer, scrub brush, & water hose throughout the course of a workday? If not, explain below.
If required, could you operate a shovel, rake, or hoe throughout the course of a workday? If not, explain below.
If required, could you operate a lawn mower & weed eater throughout the course of a workday? If not, explain below.
Have you ever been a customer of K&M Portables, LLC? If so, explain below.
Why do you want to work for K&M Portables, LLC?
