5606 N. 81 Highway
    Enid, OK 73701
    580.234.3434
    wako@wakollc.com

    We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.

    Required fields are outlined in red

    .

    Name:

    Date of Application:

    Address:

    Telephone: Email:

    1. GENERAL INFORMATION

    Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?

    Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)

    If yes, explain below:

    2. EDUCATION AND TRAINING

    Last grade completed:

    Name and Address of School Major / Course Studied Graduated or degree Average Grade
    List any scholarships, academic honors, awards or special achievements below:

    3. SKILLS    Please list any skills you have that are appropriate for the position you are applying for below

    If required, will you work:  
    Rotating Shifts Saturdays
    Overtime Sundays
    Position applying for, be specific

    Salary Requirements

    $

    State fully why you believe you qualify for this position:

    INTERESTS / ACCOMPLISHMENTS: You may wish to list significant experience, interests & accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position (s) you are seeking. Names or organizations designating religion, race, etc. need not be mentioned.
    Date you can start

    4. EMPLOYMENT HISTORY

    Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for at least the past FOUR employers. If currently employed, may we contact your employer?

    PRESENT OR MOST RECENT EMPLOYER
    Name and Title of Supervisor

    Title of Your Position

    List jobs held, duties performed, skills used, and promotions while employed at this company:
    SALARY
    Begin: $
    End: $
    EMPLOYED
    FROM:
    TO:
    REASON FOR LEAVING:
    Name and Title of Supervisor

    Title of Your Position

    List jobs held, duties performed, skills used, and promotions while employed at this company:
    SALARY
    Begin: $
    End: $
    EMPLOYED
    FROM:
    TO:
    REASON FOR LEAVING:
    Name and Title of Supervisor

    Title of Your Position

    List jobs held, duties performed, skills used, and promotions while employed at this company:
    SALARY
    Begin: $
    End: $
    EMPLOYED
    FROM:
    TO:
    REASON FOR LEAVING:
    Name and Title of Supervisor

    Title of Your Position

    List jobs held, duties performed, skills used, and promotions while employed at this company:
    SALARY
    Begin: $
    End: $
    EMPLOYED
    FROM:
    TO:
    REASON FOR LEAVING:

    READ CAREFULLY: I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

    Signature: Date: