Employment Application – High Choice Feeders

Employment Application Form

High Choice Feeders, LLC is an equal opportunity employer. High Choice Feeders, LLC does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.

PERSONAL INFORMATION

Incomplete information could disqualify you from further consideration. Please complete all fields.

Are you eligible to work in the U.S?

Yes

No

Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)

Yes

No

Have you ever been terminated from employment or asked to resign by an employer?

Yes

No

Can you work any shift?

Yes

No

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

Yes

No

Employment Desired

EMPLOYMENT DESIRED

Have you ever worked for this company before?

Yes

No

EDUCATION

Name and location of school

Degree Received

Subjects studied/Major

EMPLOYMENT HISTORY

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. If more than two jobs, please complete on a separate piece of paper and attach to your application.

Employment History

From

To

Employer Name

Telephone

Job Title

Address

Immediate supervisor and title

Summarize the nature of work performed and job responsibilities

Reason for leaving

Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for?

REFERENCES

Name

Address, Phone, Email

Company

Years Acquainted

Give the names of three persons not related to you, whom you have known at least three (3) years.

Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for High Choice Feeders, LLC to hire me. If I am hired, I understand that either High Choice Feeders, LLC or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of High Choice Feeders, LLC has the authority to make any assurance to the contrary. I attest with my signature below that I have provided true and complete information on this application. No requested information has been concealed. I authorize High Choice Feeders, LLC to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.