Phone: (651) 641-1099
Fax: (651) 647-1099

Email:
Address:
John A. Knutson & Co. PLLP
1781 Prior Avenue North
Falcon Heights, MN 55113
cpa logo.gif
Member of the American Institute
of Certified Public Accountants



     APPLICATION FOR EMPLOYMENT
 
Prospective employees will receive consideration without discrimination based on race, creed, color, sex, age, national origin, veteran status, marital status, disability, handicap, sexual orientation, citizenship status or any condition prescribed by the state or local law.

* denotes required field
Personal
*Last name, first, middle
 *Date
*Street Address
 *Home Phone
*City, State, Zip
 Other Phone  Bus. Cell
*Position Desired
 Social Security #
Email Address
 Pay Expected
Do you have a list of references that you will provide to us? Yes No
Are you available for full-time work? Yes No
If not, what hours can you work?
Are you legally eligible for employment in the United States? Yes No
Will you work overtime if asked? Yes No
When will you be available to begin work?
Have you ever been bonded? Yes No
If YES, with what employers?
Have you ever been convicted of a felony, or crime involving theft, fraud or breach of trust? Yes No
If YES, please explain:
(A YES answer does not automatically disqualify you from employment, since the nature of the offense, date, and the job for which you are applying is also considered.)
Are you covered under a non-compete or similar agreement with a former employer? Yes No
If YES, describe in full:
Are you willing to enter into a non-compete agreement? Yes No
Are you willing to grant us permission to obtain a consumer credit report? Yes No
Are you willing to grant us permission to obtain an investigative background report? Yes No
As a condition of employment, you would be required to complete an Independence Statement. Do you have any knowledge of independence issues with any clients of John A. Knutson Co., PLLP? Yes No
If YES, describe in full:
Do you currently have a valid Minnesota drivers license? Yes No
If NO, do you have a valid drivers license from another state? Yes No If YES, what state?
Do you currently have comprehensive automobile insurance coverage? Yes No
If you are applying for an accounting position, have you sat for the CPA exam? Yes No N/A
If YES, have you passed or conditioned on any parts of the exam? Yes No N/A
Parts passed, if any
If you have not completed the entire exam, are you taking part in any review courses? Yes No N/A
If YES, what course(s)?
If you are a CPA, have you properly filed all Federal and State income tax returns? Yes No N/A

Education
School Name/Location of School Course of Study # of Yrs
Completed		 Did you
Graduate?		 Degree or
Diploma?
Graduate Yes No
College Yes No
Bus/Trade/Tech Yes No
High School Yes No

Employment
Company #1 Name
 Telephone
Street Address
 Start (Month/Year)
Name of Supervisor
 Terminate (Month/Year)
State Job Title and Describe Work
 Reason for leaving
 
Company #2 Name
 Telephone
Street Address
 Start (Month/Year)
Name of Supervisor
 Terminate (Month/Year)
State Job Title and Describe Work
 Reason for leaving
 
Company #3 Name
 Telephone
Street Address
 Start (Month/Year)
Name of Supervisor
 Terminate (Month/Year)
State Job Title and Describe Work
 Reason for leaving
 
Company #4 Name
 Telephone
Street Address
 Start (Month/Year)
Name of Supervisor
 Terminate (Month/Year)
State Job Title and Describe Work
 Reason for leaving
 
DO NOT CONTACT_______________________________________________________________________________
We may contact the employers listed above unless you indicate those you do not want us to contact. Employer Number(s)
Reason
 
Please indicate your ability level with the following software packages:
  No Exposure Basic Understanding Intermediate User Extensive User
Microsoft Excel
Microsoft Word
Microsoft Outlook
Prosystem FX Tax
Prosystem FX Engagement (ePace)
FAS Asset Accounting
Microsoft PowerPoint
Microsoft Access
IDEA Audit Software
Tvalue (amortization)
QuickBooks
Peachtree

Please provide any additional similar software experience you feel may be beneficial to employment at our firm.

Additional Information
Membership in professional and civic organizations, special accomplishments, awards or any other information you wish to include.
(Exclude those which may disclose your race, color, religion, age or national group).

Applicant's Signature
Please read and understand this statement before signing your application:

The information I have provided in this Application for Employment is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize the employer to contact and obtain information about me from previous employers, educational institutions and "references" I provided, and any other party necessary to verify the accuracy of information I disclosed in this application. I waive the rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.

This application will expire in 60 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.

This application is not an employment agreement. If I accept an offer of employment, I understand the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than a Partner of John A. Knutson Co., PLLP, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such partner.

I fully understand and accept all terms and conditions in the above statement.

Date