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.

REQUIRED FIELDS ARE MARKED WITH A RED STAR.

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?

Date when you last you applied.

Have you been employed here before? *

• No
• Yes

When?

Date when you were last employed by AFI.

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 or Technical School Name

College or Technical 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.

Resume – (doc docx pdf txt)

Click or drag a file to this area to upload.

Electronic Signature *

Email *

Submit