Application 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 POSITION(s): Fork Lift DriverOrder SelectorSanitationOfficeMaintenanceRetail ContactSouth Dock Cafe SOURCE: Job FairGlobe NewsRadioGlobe NewsCraigslistFacebookRelativeCounselorEmployment Agency NAME: (Required) ADDRESS: (Required) SOCIAL SECURITY NUMBER: (Required) EMAIL: (Required) PHONE: (Required) Have you filled out an application here before? YesNo Date: Have you ever been employed here before? YesNo Date: Do you have a valid Drivers License? YesNo Are you legally entitled to work in the Country? YesNo Are you available to work? Full TimePart TimeShift Work Are you on Lay-Off or subject to recall? YesNo Are you 18 yrs of age or over? YesNo Do any of your friends or relatives work here? YesNo IF YES LIST NAME(S): 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? YesNo In case of an medical or other emergency Please notify: (Required) Relationship to you: SpouseParentFriendOther Emergency Contact's Phone: (Required) Are you a Veteran of the U.S. Military services or currently in the National Guard or Reserves? YesNo Branch: n/aArmyNavyAirforceMarinesCoast GuardNational Guard EMPLOYMENT LAST 10 YEARS (ENTER LAST JOB FIRST) Employer (Required) Dates: to Address (Required) Monthly Avg. Salary: (Required) Duties Performed: (Required) Reason for leaving: (Required) Employer 2 Dates: to Address Monthly Avg. Salary: Duties Performed: Reason for leaving: Employer 3 Dates: to Address Monthly Avg. Salary: Duties Performed: Reason for leaving: Employer 4 Dates: to Address Monthly Avg. Salary: Duties Performed: Reason for leaving: Employer 5 Dates: to Address Monthly Avg. Salary: Duties Performed: Reason for leaving: Employer 6 Dates: to Address Monthly Avg. Salary: Duties Performed: Reason for leaving: REFERENCES (NOT RELATED TO YOU) REFERENCE 1 NAME: (Required) REFERENCE 1 ADDRESS: (Required) REFERENCE 1 PHONE: (Required) REFERENCE 2 NAME: REFERENCE 2 ADDRESS: REFERENCE 2 PHONE: REFERENCE 3 NAME: REFERENCE 3 ADDRESS: REFERENCE 3 PHONE: EDUCATION High School School Name (Required) Years Completed (Required) Diploma/Degree (Required) Describe Course of Study (Required) College School Name Years Completed Diploma/Degree Describe Course of Study Technical School Name Years Completed Diploma/Degree Describe Course of Study - 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. - 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. - 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. Please review your application carefully prior to hitting submit. Once you send your application your information along with your digital signature and date/time stamp will be sent to our HR department. If you are attaching a resume only the following types of attachments are supported .doc, .docx, .pdf, .txt, and .xml Optional Upload Resume - Electronic Signature: (Required) PLEASE REVIEW YOUR APPLICATION CAREFULLY. TO SUBMIT YOUR APPLICATION, ALL REQUIRED FIELDS MUST BE COMPLETED AND YOU MUST ENTER COMPLETE INFORMATION FOR AT LEAST ONE PREVIOUS EMPLOYER.