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):
    SOURCE:
    NAME:
    SS #:
    ADDRESS:
    EMAIL:
    PHONE:
    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?
    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:
    Relationship to you:
    Phone:
    Are you a Veteran of the U.S. Military services or currently in the National Guard or Reserves?
    Branch:

    EMPLOYMENT LAST 10 YEARS (ENTER LAST JOB FIRST)

    Employer
    Dates: to
    Address
    Monthly Avg. Salary:
    Duties Performed:
    Reason for leaving:
    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
    NAME
    ADDRESS
    PHONE
    REFERENCE 1 NAME: 
    REFERENCE 1 ADDRESS: 
    REFERENCE 1 PHONE: 
    REFERENCE 2 NAME: 
    REFERENCE 2 ADDRESS: 
    REFERENCE 2 PHONE: 
    REFERENCE 3 NAME: 
    REFERENCE 3 ADDRESS: 
    REFERENCE 3 PHONE: 

    EDUCATION

    School Name
    Years Completed
    Diploma/Degree
    Describe Course of Study
    High School
    School Name 
    Years Completed 
    Diploma/Degree 
    Describe Course of Study 
    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: