Klug Bus Service - Application

Carrying Your Most Precious Cargo, every day

Desired Employment
Position	Date you can start	Salary desired
Are you employed now? Yes No	Where?	When?
Ever applied to this company before? Yes No	Where?	When?
Ever worked for this company before? Yes No	Where?	When?
Reason for leaving
Name of last supervisor at this company
Who referred you to this company?	Employment Agency Newspaper Advertising Friend State Employment Office College Placement Service Walk in Other

General
Subjects of special study	Special training	Special skills

Former Employers
Name of present/past employer	Address
City	State	ZIP
Job Title	Starting Date	Ending Date
Weekly Starting Salary	Weekly Final Salary	May we contact your supervisor? Yes No
Name of Supervisor	Job Title	Phone
Description of work	Reason for leaving

Name of present/past employer	Address
City	State	ZIP
Job Title	Starting Date	Ending Date
Weekly Starting Salary	Weekly Final Salary	May we contact your supervisor? Yes No
Name of Supervisor	Job Title	Phone
Description of work	Reason for leaving

Name of present/past employer	Address
City	State	ZIP
Job Title	Starting Date	Ending Date
Weekly Starting Salary	Weekly Final Salary	May we contact your supervisor? Yes No
Name of Supervisor	Job Title	Phone
Description of work	Reason for leaving

Service Record
Branch of Service	Discharge Date/Rank
Have you ever been convicted of a felony? Yes No	If yes, explain.

Education
School Level	Name and Location of School	No. of Years Attended	Did you Graduate?	Subjects Studied
Grammar School
High School
College
Trade, Business, and Correspondence School

References Give the names of three persons you are not related to, whom you have known for at least one year
Name	Address	Business	Years Acquainted