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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.
Name
Date
MM slash DD slash YYYY
Street Address
City, State ZIP Code
Mobile Phone #
Are you eligible to work in the U.S?
Yes
No
Social Security Number
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
If yes, please provide details
Can you work any shift?
Yes
No
If no, explain
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
MM slash DD slash YYYY
Hourly rate/Salary desired
Position desired
Are you currently employed?
If so may we inquire of your present employer?
Have you ever worked for this company before?
Yes
No
Do you know anyone who works for our company? Yes No If yes, who?
EDUCATION
Name and location of school
Degree Received
Subjects studied/Major
Add
Remove
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
Add
Remove
Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for?
If yes, explain.
REFERENCES
Name
Address, Phone, Email
Company
Years Acquainted
Add
Remove
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.
Date
MM slash DD slash YYYY
Signature
