Employment Application

Kirby Specialties Corporation is an equal opportunity employer and a drug-free workplace. To be considered fo ra job at Kirby Specialties, you must complete the entire application form.

Personal Information

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This employer participates in e-verify: the employer will provide the Social Security Administration and the Dept. of Homeland Security with information from each new employee's I-9 to confirm work authorization.

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Former Employers

List below your last three employers, starting with the last one first.

Employer 1

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Employer 2

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Employer 3

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References

Give the names of three persons not related to you, whom you have known at least one year.

Reference 1

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Reference 2

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Reference 3

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Emergency Contact

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“I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION WILL BE REJECTED. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY’S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY’S OPTION. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT’S PRESIDENT, AND THEN ONLY IN WRITING AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.”

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Our History

With over 50 years in the business we have seen and done it all. Find out more about our history here...