KEPCO+ Employment Application

First name*

Last name*

Address*

City*

State*

Zip*

Phone Number*

Email*

Position Applying For:*

Available Start Date*

Month

Day

Year

Have you worked for KEPCO+ before?*

Yes

No

If yes, provide dates and positions below:

Do you have friends and/or relatives working for KEPCO+?*

Yes

No

If yes, provide name(s) and relationship(s) below:

Are you at least 18 years old?*

Are you a US Citizen?*

If No, are you legally authorized to work in the United States?

If No, do you now or will you in the future require KEPCO+ sponsorship?

If hired, do you have a reliable means of transportation to and from work?*

Have you ever been convicted of a felony?*

If yes, please explain:

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