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Application

Tell us about yourself

Interested in becoming an employee-owner? We want to hear from you. Please complete the online application, which includes 11 sections. We recommend you compile information about previous job history, education, certifications and references before you begin.

Step 1 of 11 - Personal Information

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Phone
This field is for validation purposes and should be left unchanged.
Personal Information
Name*
First Middle Last
Have you ever been employed under a different name?*
- Yes
- No
If Yes, state name(s) and dates used*
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
How did you hear about us?*
Please provide the name of the employee that referred you.*
Other:*

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Work Preference
Indicate the position(s) for which you are applying.*
Check which type(s) you wish to work.*
- Full-time
- Part-time
- Temporarily
Date available to start:*
MM slash DD slash YYYY
Do you have any commitments to another employer that might affect your employment with us?*
- No
- Yes
If Yes, please explain.*

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General Information
Have you applied with us before?*
- No
- Yes
Date applied:*
Are you legally authorized to work in the United States?*
- No
- Yes
Have you been convicted of or plead guilty or "no contest" to a felony or misdemeanor (no not include minor traffic violations) in the past 10 years?*
- No
- Yes
If Yes, please provide the name of the crime, date and place of conviction*
Have you ever been discharged or asked to resign by an employer?*
- No
- Yes
If Yes, please explain.*
Do you have a valid Driver's License?*
- No
- Yes
If Yes, include DL state and number.*

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Current/Most Recent Employer
Employer Name*
Employer Address*
Street Address Address Line 2 City State ZIP Code
Phone
Position Title(s)*
Name of Supervisor*
Dates employed*
Example 1/1/2015 - 3/3/2017
Current Wage Type*
- Hourly
- Salary
Current Wage Amount*
Example $15.00 (please include dollars and cents)
Brief description of duties:*
Why did you leave/are you leaving?*
Explanation*

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Second Most Recent Employer
Employer Name*
Employer Address*
Street Address Address Line 2 City State ZIP Code
Phone
Position Title(s)*
Name of Supervisor*
Dates employed*
Example 1/1/2015 - 3/3/2017
Current Wage Type*
- Hourly
- Salary
Current Wage Amount*
Example $15.00 (please include dollars and cents)
Brief description of duties:*
Why did you leave?*
Explanation*

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Third Most Recent Employer
Employer Name*
Employer Address*
Street Address Address Line 2 City State ZIP Code
Phone
Position Title(s)*
Name of Supervisor*
Dates employed*
Example 1/1/2015 - 3/3/2017
Current Wage Type*
- Hourly
- Salary
Current Wage Amount*
Example $15.00 (please include dollars and cents)
Brief description of duties:*
Why did you leave?*
Explanation*

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Educational Information
Education Level*
Please select all that apply.
- High School
- College
- Graduate or Professional School
- Trade, Night, or Online School
- Other
High School
High School Name*
High School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years Completed*
Diploma or GED*
College
College Name*
College Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years Completed*
Degree(s) Obtained*
Graduate or Professional School
Graduate/Professional School Name*
Graduate/Professional School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years Completed*
Degree(s) Obtained*
Trade, Night, or Online School
Trade, Night, or Online School Name*
Trade, Night, or Online School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years Completed*
Degree(s) or Certificate(s) Obtained*
Other
Please explain.*
Licenses, Certifications, etc.
List all licenses, certifications, etc.*
Please list in this format: Type, state, date earned, disciplinary actions (if any)

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References
Reference 1 Name*
Reference 1 Phone
Reference 1 Years Known*
Reference 1 Type*
- Business
- Personal
Reference 2 Name*
Reference 2 Phone
Reference 2 Years Known*
Reference 2 Type*
- Business
- Personal
Reference 3 Name*
Reference 3 Phone
Reference 3 Years Known*
Reference 3 Type*
- Business
- Personal

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Specialized Skills, Specialized Training or Other Qualifications
List specialized skills and/or training, or other qualifications.*

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Certification
Please read the following statements carefully before signing.
Information provided is true*
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also acknowledge that any falsified information may disqualify me from further consideration for employment and may be justification for dismissal if discovered at a later date. Any omission from the complete employment record would constitute a falsehood.*
Employee at will*
I understand that should I become employed by MegaKC I would be an employee at will. Thus, my employment could be terminated, with or without cause, at any time at the discretion of either the firm or myself. I understand that no management official other than the Owners has any authority to enter into any agreement contrary to the foregoing or make and oral assurance or promise of continued employment.*
Authorization to contact named people and organizations*
Unless specifically noted on this application, I authorize the company to contact persons, schools, my current employer (if applicable), and previous employers and organizations named in this application (and accompanying resume, if any) to provide any relevant information concerning my employment or other relationship with the organization to the company.*
Signature*
Date*
MM slash DD slash YYYY
Mega Industries Corporation is an Equal Opportunity Employer in all employment decisions, including hiring, terminations, promotions, and the administration of personnel policies. The Company does not discriminate on the basis of race, color, religion, sex, nationality or ethnic origin, veteran status, age, disability, genetics, or any other legally protected characteristics. Any person believing that he/she has been subjected to such discrimination should contact the HR representative.

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Voluntary Disclosure Record
Ethnicity*
- Hispanic - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race
- Not Hispanic
- I choose not to respond
Race*
- Black or African-American - A person having origins in any of the black racial groups in Africa
- White - A person having origins in any of the original peoples of Europe, the Middle East, or North America
- Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
- Asian - A person having orgins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands
- American Indian or Alaskan Native - A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment
- Two or More Races - All personas who identify with more than one of the above five races
- I choose not to respond
Gender Information*
- Female
- Male
- I choose not to respond
Individual with a disability*
- Not disabled
- Individual with a disability/disabilities
- I choose not to respond
Veterans/U.S. Military Status*
- Non-Veteran
- Vietnam-Era Veteran Status: Defined as a veteran who (a) served on active duty in the Republic of Vietnam between February 28, 1961 and May 7, 1975, or (b) served on active duty for a period of more than 180 days, any part of which occurred between August 5, 1964 and May 7, 1975, and was discharged or released therefrom with other than a dishonorable discharge, or (c) was discharged or released from active duty for a service-connected disability if any part of his or her active duty was performed between August 5, 1964 and May 7, 1975
- Special Disabled Veteran: Defined as a veteran who is entitled to disability compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Veterans Administration for a disability (i) rated at 30% or more, or (ii) rated at 10% or 20% in the case of a veteran who has been determined under section 1506 to have a serious employment disability, or a person who was discharged from active duty because of a service-connected disability
- Other Eligible Veteran: Defined as any veteran who served in a "war" declared by Congress, in a campaign or on an expedition for which a campaign badge, a service medal, or an expeditionary medal has been awarded
- Active National Guard Reservist
- I choose not to respond
This information is Personal and Confidential. Candidates are asked to provide this information for statistical purposes only, and may choose not to provide the information. No information contained herein will be considered in any employment or selection process, nor will failure to voluntarily disclose this information be an adverse consideration in any employment or selection process. This information will be retained separately from applicant and personnel records.

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On it because we own it. MegaKC is a 100% employee-owned construction company serving the Kansas City metro with civil, water, industrial, and on-call infrastructure work.

1491 Iron St
North Kansas City, MO 64116

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