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*First Name:
*Last Name:
*Street Address:
*City:
*State:
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*Zip:
*Home Phone:
Mobile Phone:
*Email:
*Position Applying For :
*Cities of Interest for Employment:
Please put the city or cities you would be interested in working for Valley Wide Coop.
*Accommodations:
After reviewing the job description for the position to which you have applied, are you able to perform the essential functions with or without reasonable accommodation?
*Employment Type:
-
Full Time
Part Time
Seasonal
Open
*Employment authorization:
-
Yes
No
Are you authorized to work in the United States? (Federal Law requires proof of identity and employment authorization for all new employees.)
*Are you over 18 years of Age?:
-
Yes
No
*Previous Employment:
-
Yes
No
Have you ever been previously employed by Valley Wide Cooperative, or Valley Agronomics?
Notes:
If yes, give dates employed and reason for leaving
*Driver's License :
-
Yes
No
Not applicable for position
For Driving Positions Only: Do you have a valid driver's license? For non-driving positions enter "Not applicable for position"
Equipment operation:
If you are an experienced operator of any position-related business/plant machines or equipment, please list above
Other job-related skills:
*Previous disciplinary:
Have any of your prior employers ever disciplined you including, but not limited to, a written warning, suspension, demotion, or termination of your employment?
If not, please list (N/A).
If so, please explain each incident by providing the date of occurrence, disciplinary action taken, facts surrounding the action; e.g., specific policy violation or performance issue; and the name of the employer.
It is critical that the applicant be upfront in his or her response so that the Company can assess the significance of the prior action. Failure to provide full disclosure may result in disqualification from employment consideration, or if hired, termination.
*Employment History:
Please include 10 years of past employment History
Please fill in (or copy and paste) your employment history
Upload your resume:
Please ensure you are uploading a resume, if the description of the job you are applying for specifies it is required.
*When are you available for employment?:
Calendar
Today
*Electronic signature:
Please enter your full name below
This Employment Application is used to notify me that the nature and scope of an investigation, if one is conducted, could include such general identification information as residence verification, and, as applicable, information concerning my employment, education, general reputation, character, and that such information may be developed through personal interviews with third parties. Only job-related information developed from such a report will be considered in evaluating my employment application or continued employment. I hereby authorize these persons, companies, organizations or corporations to answer all questions or release any information regarding the items listed in this paragraph. I hereby release them from any liability and hold them harmless from any claim for releasing any truthful information within their knowledge and/or records authorize the Company to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information concerning my work experience with the Company. I hereby release and hold the Company harmless from any claim for releasing any truthful information within its knowledge and/or records. I understand that any job offer that may be extended to me will be contingent upon the successful completion of a drug and alcohol test. I certify that the answers given by me to the foregoing questions and during any interviews are true and correct without material omissions, and understand that, if employed, omissions and/or false statements on this application or during any interviews may result in dismissal. I understand and acknowledge that, if hired, my employment is for no definite period and either the Employer or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract. I have had an opportunity to have my questions about this statement's content and intent answered and understand its terms. Signature Of Applicant
Input your full name to indicate you agree to these terms prior to clicking "Submit"
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