Walworth Employment Application

    Last Name: (required)

    First Name: (required)

    Middle Name:

    Street Address: (required)

    City: (required)

    State: (required)

    Zip Code: (required)

    Lived at the address since:

    Previous Address:

    City:

    State:

    Zip Code:

    Phone Number:

    Email Address:

    If employed, can you provide proof you are eligible to work in the United States?: (required)

    yesno

    How many work days were you absent in the last year?: (required)

    Are your 18 years of age or older?:

    yesNo

    Military Service

    ArmyNavyAir ForceMarinesNone

    Military assignment and skills acquired?:

    Have you been convicted of a felony?

    YesNo (A conviction does not necessarily disqualify you from employment)
    If yes give details

    Position you are applying for:

    Full TimePart TimeSummer Only
    Shifts you will consider (check all that apply) 1st2nd3rdNo Preference

    Referred to us by:

    Personal References (2 non-relatives)

    Name:
    Occupation:
    Telephone:

    Name:
    Occupation:
    Telephone:

    How did you hear about Kikkoman Foods?

    CollegeEmployee ReferralInternetJob ServiceNewspaperPlacement or Temporary AgencyOther

    Highest Level of Education: (Applicants must have a high school diploma or equivalent to apply.)

    Some high schoolHigh school degreeSome CollegeAssociates college degreeBachelors College degreePAdvanced College degreeTrade schoolOther Please Specify:

    Extracurricular activities while in school:

    Hobbies or recreational interests:

    Machines with which you are familiar:

    Other Machines or Experience:

    Recent Employment History

    Employer:
    Dates:
    Street address:
    City: State:
    Phone Number:
    Position:
    Name and title of immediate supervisor:[test recent-employer-supervisor]
    Duties:
    Salary:HourlyYearly
    Reason for leaving:

    Prior Employment History

    Employer:
    Dates:
    Street address:
    City: State:
    Phone Number:
    Position:
    Name and title of immediate supervisor:[test prior-employer-supervisor]
    Duties:
    Salary:HourlyYearly
    Reason for leaving:

    Prior Employment History

    Employer:
    Dates:
    Street address:
    City: State:
    Phone Number:
    Position:
    Name and title of immediate supervisor:[test second-prior-employer-supervisor]
    Duties:
    Salary:HourlyYearly
    Reason for leaving:

    Prior Employment History

    Employer:
    Dates:
    Street address:
    City: State:
    Phone Number:
    Position:
    Name and title of immediate supervisor:[test third-prior-employer-supervisor]
    Duties:
    Salary:HourlyYearly
    Reason for leaving:

    Prior Employment History

    Employer:
    Dates:
    Street address:
    City: State:
    Phone Number:
    Position:
    Name and title of immediate supervisor:[test fourth-prior-employer-supervisor]
    Duties:
    Salary:HourlyYearly
    Reason for leaving:

    Prior Employment History

    Employer:
    Dates:
    Street address:
    City: State:
    Phone Number:
    Position:
    Name and title of immediate supervisor:[test fifth-prior-employer-supervisor]
    Duties:
    Salary:HourlyYearly
    Reason for leaving:

    Resume Upload:

    After submitting these on-line answers, you will receive a custom thank you message, confirming your application was submitted successfully.
    Applications current for 1 year. Questions related to this process can be directed to Kikkomans Human Resources department at hr@kfijobs.com.
    Thank you.
    Human Resources