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Affiliated Foods Employment Application

QUALIFIED APPLICANTS ARE CONSIDERED FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, OR THE PRESENCE OF MEDICAL CONDITION OR HANDICAP.

ENTIRE APPLICATION MUST BE COMPLETED FOR CONSIDERATION

Resumes in pdf, doc, docx, or txt formats can be sent to:

How did you hear about us: *

Job Fair
Globe News
Radio
Facebook
Relative
Counselor
Employment Agency

Positions you are applying for: *

Order Selector
Forklift Driver
Sanitation
Office
Maintenance
Retail Contact
South Dock Cafe
Other

Name *

First

Last

Address *

Social Security Number *

Phone Number *

Have you applied here before? *

No
Yes

When?

Have you been employed here before? *

No
Yes

When?

Do you have a valid driver's license? *

No
Yes

Are you legally entitled to work in the country? *

No
Yes

When are you available to work: *

Part Time
Full Time
Shift Work

Are you 18 years of age or older? *

No
Yes

Do any of your friends or family work here? *

No
Yes

If yes, who?

During the past 5 years, have you ever been convicted of, or have you pleaded guilty or no contest (NOLO CONTENDER) to, a Felony Offense? * *

No
Yes

If yes, please explain:

In case of Medical or other emergency notify: *

Emergency contact's relationship to you *

Spouse
Parent
Friend
Other

Emergency contact's phone * *

Are you a Veteran of the U.S. Military services or currently in the National Guard or Reserves? *

No
Army
Navy
Air Force
Marines
National Guard
Coast Guard

Employment History – Employer 1 *

Employed from: *

To: *

Employer address *

Average Monthly Salary *

Duties performed *

Reason for leaving *

Employment History – Employer 2

Employed from:

To:

Employer Address

Average Monthly Salary

Duties Performed

Reason for leaving

Employment History – Employer 3

Employed From:

To:

Employer Address

Average Monthly Salary

Duties Performed

Reason for Leaving

Employment History – Employer 4

Employed From:

To:

Employer Address

Average Monthly Salary

Duties Performed

Reason for Leaving

Employment History – Employer 5

Employed From

To

Employer Address

Average Monthly Salary

Duties Performed

Reason for Leaving

Reference 1 Name *

First

Last

Reference 1 Phone *

Reference 1 Address *

Reference 2 Name

First

Last

Reference 2 Phone

Reference 2 Address

Reference 3 Name

First

Last

Reference 3 Phone

Reference 3 Address

Education – High School *

High School Diploma/Degree *

Describe Course of Study *

College School Name

College Degree

Describe Course of Study

Technical School Name

Technical School Degree

Describe Course of Study

Check *

I CERTIFY THAT ANSWERS GIVEN HEREIN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION FOR EMPLOYMENT AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION.

Check *

IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION GIVEN IN MY APPLICATION OR INTERVIEW(S) MAY RESULT IN DISCHARGE. I UNDERSTAND, ALSO, THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATIONS OF THE COMPANY.

Check *

I HEREBY AUTHORIZE MY PRIOR EMPLOYER(S), TO RELEASE ANY & ALL INFORMATION, RELATED TO MY EMPLOYMENT WITH THAT COMPANY. I FURTHER RELEASE MY FORMER EMPLOYER(S) FROM ANY & ALL LIABILITES THAT MAY RESULT FROM THE RELEASE AND/OR USE OF SUCH INFORMATION.

Electronic Signature *

Multiple Choice *

I am not submitting a resume.
I will e-mail my resume to hrapps@afiama.com

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