Employment Application Wing King Is An Equal Opportunity Employer Step 1 of 5 - Basic Information 20% Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Which location are you applying for?RosemontKempsvillePosition applied for:* Referral Source:* Are you 21 years old or over?* Yes No Have you ever been employed by Wing King?* Yes No Date of Employment MM slash DD slash YYYY Are You A United States Citizen?* Yes No If not, are you legally entitled to work in the United States? Yes No Are you able to work weekends? Yes No Do you have a valid Drivers License?* Yes No Have you been convicted of a felony within 7 years?* Yes No If yes, explain:Are you a veteran of the U.S. Military Service?* Yes No EducationNameYear CompletedArea of Study Last School Attended?* List each job held. Start with your present or last job. Include military service assignments and volunteer activities. (Exclude groups which indicate race, color religion, sex, or national origin)Work Experience #1Employer* Start Date* MM slash DD slash YYYY End Date MM slash DD slash YYYY Leave this blank if you are still working for this employer.Description & Reason For Leaving* Please briefly describe your role at the company.Additional Experience?* Yes No Work Experience #2Employer Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Leave this blank if you are still working for this employer.Description & Reason For Leaving* Please briefly describe your role at the company.Any Other Experience?* Yes No Work Experience #3Employer Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Leave this blank if you are still working for this employer.Description Please briefly describe your role at the company. References*NameRelationshipPhone Number Are you a good employee?* Yes No What type of employment are you looking for?* Full Time Part Time If we contact your previous employer, what will their feelings toward you be?* Positive Neutral Negative Why did you leave your last position?* I'm Still Employed Fired Laid Off Seeking Other Opportunities Furthering Education Agreement I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application of interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the company. Special Employment Notice to Disabled Veteran, Vietnam Era Veterans, and Individuals with Physical Handicaps............ Government Contractors are subject to Section 402 of the Vietnam Era Veterans Readjustment Act of 1974 which requires that they take affirmative action to employ and advance the employment qualified disabled veterans and veterans of the Vietnam Era, and section 503 of the Rehabilitation Act of 1973, as amended, which requires government Contractors to take affirmative action to employ and advance in employment qualified handicapped individuals. If you are a disabled veteran or have a physical or mental handicap, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodation to enable you to perform the job in a proper and safe manner. This information will be treated confidentially. Failure to provide this information will not jeopardize or adversely affect any consideration you may receive for employment. If you wish to be identified, please select below. Please Select Below If You Wish To Me Identified.HandicappedVietnam Era VeteranDisabled VeteranSection Break </noscript><iframe class="lazy" style='display:none;width:0px;height:0px;' src="" data-src='about:blank' name='gform_ajax_frame_2' id='gform_ajax_frame_2' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'>
