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Employment Application

Questions? Contact Our HR Department. If you are in need of a reasonable accommodation to access this website or apply for a position with Kinsley Construction, Inc., please contact careers@kinsleyconstruction.com or call 717-852-1067.

Starting with your most recent employer, provide the following information.

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NOTICE TO APPLICANTS AND EMPLOYEES OF AVAILABILITY OF AFFIRMATIVE ACTION PLAN FOR PROTECTED VETERANS AND INDIVIDUALS WITH DISABILITIES

Kinsley Construction is a covered federal contractor or subcontractor subject to the requirements of Executive Order 11246, as amended, the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), as amended, and Section 503 of the Rehabilitation Act of 1973, as amended.

As such, Kinsley Construction is bound by the terms of Executive Order 11246, VEVRAA and Section 503, and shall not discriminate against individuals with disabilities, protected veterans, minorities, or women and is committed to taking affirmative action to employ and advance in employment protected veterans, individuals with disabilities, minorities, and women.

Kinsley Construction maintains a written Affirmative Action Plan for the purpose of proactively seeking employment and advancement in employment of qualified protected veterans and individuals with disabilities.

As an individual interested in employment with Kinsley Construction, or as one of Kinsley Construction’s valued employees, Kinsley Construction welcomes the opportunity to make its employees and applicants more aware of Kinsley Construction’s obligations and affirmative action efforts.

Upon request, Kinsley Construction will make accessible to you, its Affirmative Action Plan for protected veterans and individuals with disabilities. If you are interested, please submit a written request to Wendy Ebersole, Human Resources Director/EEO Officer during normal business hours. Upon making your request, we can schedule a time for you to review the Affirmative Action Plan.

Wendy Ebersole, Human Resources Director/EEO Officer | webersole@kinsleyconstruction.com | (717) 852-1062

Name

First Name:

Middle Name:

Last Name:

Address

Street Address:

City:

State:

Zip:

Phone Number:

Email:

Position(s)

Position(s) applying for:

Have you ever worked here before?

Are you legally eligible for employment in this country?

What is your desired pay?

Type of employment

Will you travel if job requires it?

Will you work overtime if required?

Driver’s license number:

Driver's license state

Employer 1

Employer

Job Title

Summarize the type of work performed and job responsibilities.

Do you currently work here

Why did you leave?

Start date

End date

Employer #2

Employer

Job Title

Why did you leave?

Summarize the type of work performed and job responsibilities.

Start

End

Employment Gaps

Explain any gaps in your employment, other than those due to personal illness, injury or disability.

If not addressed before, have you ever been fired or asked to resign from a job?

If yes, please explain.

Summarize any special training, skills, licenses and/or certifications that may assist you in performing the position for which you are applying.

Educational Experience

School name

City

State

Years completed

Completed:

Specify if necessary

GPA/Class Rank

Major/Minor

Resume

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Max. size: 99.0 MB

Voluntary Data

Sharing this information is completely voluntary. Declining to provide this information does not affect your application for employment in any way.

Gender

Referral Source

Referral Source: Name of Other / Advertisement Seen In / Person Who Referred You

Please select one of the following Equal Employment Opportunity Identification Groups

Veteran Status

Kinsley Construction is a Government contractor subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: 

  1. disabled veterans; a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.
  2. recently separated veterans; any veteran during the three-year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military, ground, naval or air service. An “active duty wartime or campaign badge veteran” means
  3. active duty wartime or campaign badge veterans; a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense; and
  4. Armed Forces service medal veterans: a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.


Protected veterans may have additional rights under USERRA – the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor’s Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.

Please select your veteran status from the drop-down menu below.

As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

Selection

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended.

The information you submit will be kept confidential, except that (i) supervisors and managers may be informed regarding restrictions on the work or duties of disabled veterans, and regarding necessary accommodations; (ii) first aid and safety personnel may be informed, when and to the extent appropriate, if you have a condition that might require emergency treatment; and (iii) government officials engaged in enforcing laws administered by the Office of Federal Contract Compliance Programs, or enforcing the Americans with Disabilities Act, may be informed.

Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 05/31/2023

Why are you being asked to complete this form?
We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at http://www.dol.gov/ofccp.

How do you know if you have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to: 

  •  Autism
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS 
  •  Blind or low vision 
  •  Cancer
  •  Cardiovascular or heart disease
  •  Celiac disease 
  •  Cerebral palsy
  •  Deaf or hard of hearing 
  •  Depression or anxiety
  •  Diabetes 
  •  Epilepsy 
  •  Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome Intellectual disability 
  •  Missing limbs or partially missing limbs 
  •  Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS) 
  •  Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

Please select one of the fields below:

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Submit

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resumé or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

You will be redirected to a new page once your application is submitted.