Careers


APPLICATION FOR EMPLOYMENT

We appreciate your interest in employment opportunities with Kana Pipeline, Inc.. Kana Pipeline, Inc. is an Equal Employment
employer. Company policy prohibits unlawful discrimination against any applicant or employee on the basis of race, color, sex, religion,
national origin, age, disability, or any other basis protected by applicable federal, state, or local laws. The Company also prohibits
harassment of applicants and employees based on any of these protected categories.

Note to Applicants: Smoking is prohibited in all indoor areas of the Company unless designated smoking areas have been established
by a particular office in accordance with applicable State and local law.

Today’s Date  

Legal Name 

 

Street Address

Have you ever used any other name(s) which is (are) necessary for
us to know in order for us to verify your employment or educational
record?

Have you previously worked for or applied for a position with
Kana Companies, in any of our offices either as an employee or
through an employment agency?

If yes, please explain when and, if employed, in what capacity:

Position
Applying For

 

Date Available
for Work

Are you at least 18 years old?

 

Telephone (Home)   Telephone (Work)  

 

Email Address

 

Are you available to work overtime as needed?

 

Do you have any relatives now employed at Kana Companies? 

If yes, state name(s) and where they are located.

P E R M I S S I O N  T O  W O R K

If hired, can you present evidence of your legal right to work in the US?

 

R E F E R R A L   I N F O R M A T I O N

How did you learn about Kana Pipeline, Inc.? 

Employment Agency (state name):  

Reputation of Company:

Referral (state name): 

School (state name):

Newspaper ad (name of paper):

Other:

 

W O R K  E X P E R I E N C E

Please specify your complete full-time and part-time employment history, including self-employment. You may include any verified
work performed on a volunteer basis. Begin with your most recent employer. If you require additional space, please use the reverse
side of this page and/or the following page.

1

Company Name

 

Address

 

Name, Title, and Phone Number of Supervisor

 

Job Title, and Work Responsibilities

Telephone

 

Employed (Month and Year)

From

To:

Reason for Leaving:

 

Notes:

 

 

 

2

Company Name

 

Address

 

Name, Title, and Phone Number of Supervisor

 

Job Title, and Work Responsibilities

Telephone

 

Employed (Month and Year)

From

To:

Reason for Leaving:

 

Notes:

 

 

3

Company Name

 

Address

 

Name, Title, and Phone Number of Supervisor

 

Job Title, and Work Responsibilities

Telephone

 

Employed (Month and Year)

From

To:

Reason for Leaving:

 

Notes:

 

 

4

Company Name

 

Address

 

Name, Title, and Phone Number of Supervisor

 

Job Title, and Work Responsibilities

Telephone

 

Employed (Month and Year)

From

To:

Reason for Leaving:

 

Notes:

 

Please explain any gaps in your employment

All employers including your current employer may be contacted to verify the information you provide. May we contact your
current employer prior to making an offer of employment? Yes No

P R O F E S S I O N A L  R E F E R E N C E S

Individuals not related to you. Business references preferred

Name

 

Occupation

Phone

 

Address

 

Years Known
and Capacity

 

E D U C A T I O N  &  T R A I N I N G

Please include name, street, city, state and zip code for each school.

School

Graduate

College/University

High School

Business/Trade/
Technical

Name and Location of School

 

Year Graduated Degree Type of
Course/Major

 

General Office Skills

Typing

Shorthand

Telephone Console

Data Entry

Fax Machines

Mail Equipment

Dictation Transcription

Filing Systems

10-Key Calculator

List any other office/business skills you possess which are relevant to the position
you seek:

Software and Technology

Check only those with which you are proficient.
For those marked with an (*), provide
information as to the specific version, release,
or model.

MS Word™*

WordPerfect™*

PowerPoint™

LOTUS 1-2-3™

Excel™*

Paradox™/Access™*

Windows™*

Electronic Mail Programs*

Netware*

Programming/Database Applications*

Litigation Support Programs*

Document Management Programs*

Telecommunications*

Legal Solutions™/Proforma™

Computer Hardware

List any other software programs with which
you are proficient, and any other technical skills
you possess:

Do you have any other experience, skills, or qualifications which you feel would benefit Kana Pipeline, Inc.? If so, please explain:

Are you able to perform the essential duties of the position for which you are applying, either with or without reasonable
accommodations? ˜ Yes ˜ No If necessary, please indicate what type(s) of reasonable accommodations are needed:

A D D I T I O N A L  E M P L O Y M E N T  I N Q U I R I E S

If applying for a position that will include driving:

Driver’s License Information: State: Number: Expiration Date:
Restrictions or Suspensions (respond fully if driving is required by the job for which you are applying):
If hired, you may be required to provide proof of insurance coverage

 

A P P L I C A N T ’S S T A T E M E N T & A C K N O W L E D G M E N T

THIS APPLICATION IS NOT COMPLETE UNTIL IT IS FULLY COMPLETED, SIGNED, AND
ALL STATEMENTS BELOW HAVE BEEN READ AND INITIALED.

 

 

 

My signature below certifies that I agree to be bound by the terms and conditions stated in this Application, which contains all the
understandings between Kana Pipeline, Inc. and me concerning the topics addressed herein, and supersedes any and all prior
inconsistent understandings between Kana Companies and me on such issues.

 

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Document name: Careers
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March 18, 2020 1:38 pm GMTCareers Uploaded by Austin Locke - ceastlake@kanapipeline.com IP 159.65.67.131