Personal Information:
First Name (Required)
Middle Name
Last Name (Required)
Nickname / Preferred Name
Street Address / Apartment  
City
State/ zip Code  
Home Phone (Required) - Area code and phone number
Cell Phone - Area code and phone number
Emergency Contact - Area code and phone number
Date of Birth
Email Address
Position applying for
What Kudzu location are you applying for? (Required)
general Information:
Type of work Desired Manufacturing Construction Clerical/ Admin
Skilled Trade
What is your Lifting Capacity?
Are you willing to working in a non smoking environment?
Driver's License Number
Issuing State
Are you willing to take a drug test today?
Any History of Criminal Convictions?
Details of Criminal Convictions
 
Availability:
Shift Preference
Check Days Available
When are you available to start?
How many hours are you willing to work in a week?
Are you willing to work overtime?
Yes No
What is the minimum pay you desire?
Hourly rate or annual salary
How many miles are you willing to travel to a position?
Do you have your own transportation?
Are You a Student?
 
Education:
High School
Name of Institution
Street Address
City  
State / ZIP Code  
Start Date (Month / Year) Month: Year:
End Date (Month / Year) Month: Year:
Did you graduate?
 
College or Technical school
Name of Institution
Street Address
City  
State / ZIP Code  
Start Date (Month / Year)
End Date (Month / Year)
Did you graduate?
Recent Employment (List most recent first )
past Employer #1
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Phone Number - Area code and phone number
Job Title  
Reason for Leaving  
Start Date (Month / Year)   Month: Year:
End Date (Month / Year) Month: Year:
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No
past Employer #2  
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Job Title  
Reason for Leaving  
Start Date (Month / Year)  
End Date (Month / Year)
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No
past Employer #3
Company Name
Street Address
City
State / ZIP Code  
Supervisor Name
Job Title  
Reason for Leaving  
Start Date (Month / Year)  
End Date (Month / Year)
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No
Skills (check as many as apply)
iNDUSTRIAL SERVicES:
electrical/ Wiring Schematics mechanical Assembly
production Assembly material Handler Forklift Driver
Packaging/ Warehouse Tool Crib Attendant Maintenance
janitor Printing Binding
Screen Maker/ Printer Quality Control/ Inspector  
Construction:
Carpenter Framing drywall
Pipe Welder Production Welder Structural Welder
MIG Welder Stick Welder TIG Welder
Painter Roofing Millwright
heavy equipment and driver:
Driving/ Commercial Heavy Equipment Operator Class A/ B
Class CDL Auto Mechanic Heavy Equipment Mechanic
Machine Operator
Blow Molding Brake Press Heat Treat Operator
Die Casting Punch Press Shears
band Saw CNC Operator CNC/ Program/ SETU
manual Lathe Operator Drill Press Milling Machine
Paint Line/ Booth/ Sprayer Laser Operator  
Textiles:
waper Operator Creel Operator Loom Specialist
Weaver loom Fixer Inspectors
Twister Operator maintenance Multi Machine Operator
Hospitality:
Server bartender Banquet Server
Accounting:
General Ledger Account Payables Account Receivable
Bank Reconciliation    
Computer Software:
Microsoft Excel Microsoft Word Microsoft Outlook
Quickbooks    
clerical:
Customer Service Data Entry 10 Key Numeric
Reception/ Switchboard Administrative assistant Copy machine/ Fax Machine
marketing    
 

I certify that my answers are true and complete to the best of my knowledge. i understand
that nothing in this application is a contract or offer of employment. I will be an at-will
employee as it relates to 41-1-11-110 of the SC Code. Kudzu Staffing. Inc, or I may terminate employment at any time for any reason. No Kudzu Staffing, Inc. representatives can verbally
or written by policy or practice change my at-will employment.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Please take a moment to review your application.  Indicate that you have read the above
statement by entering your initials in the box below.  To complete this application, click on
the Submit Application button.

Initials:  (Required)   

This Company is an equal employment opportunity employer. We adhere to a policy of making employment
decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship,
age or disability. We assure you that your opportunity for employment with this Company depends
solely on your qualifications.