Son-D-Farms

First Name

Middle Name

Last Name

Email Address

Street Address

City

State

Zip Code

Phone

Social Security #

XXX

XXXX

XXX

XXXX

Position(s) Applied For

Salary Expected

How did you learn about Son-D-Farms?

Advertisement Employment Agency Employee Referral Other

Have you applied for a position with us before?

Yes No

Have you ever been employed with us before?

Yes No

Are Your Currently Employed?

Yes No

Are you currently on “lay-off” status and subject to recall?

Yes No

On what date would you be available for work?

Are you available to work:

Full-Time Part-Time All Shifts Temporary

Can you travel for work if necessary?

Yes No

Are you legally permitted to work in the United States?

Yes No

NOTE: Proof of eligibility will be required within three working days of employment.

Are you 18 years of age or older?

Yes No

Are you willing to take drug tests at the Company’s request?

Yes No

Have you ever gone by a name other than the one listed above?

Yes No

EDUCATION

List the last 3 schools attended.

Name of College 1

Location

Years Completed

Degree/Major

G.P.A.

Diploma obtained?

Yes No

Name of College 2

Location

Years Completed

Degree/Major

G.P.A.

Diploma obtained?

Yes No

Name of College 3

Location

Years Completed

Degree/Major

G.P.A.

Diploma obtained?

Yes No

MILITARY SERVICE

Have you ever served in the U.S. military?

Yes No

NOTE: If you answered “no” to the above question, please skip to Employment History.

What was the length of your military service? (Years and Months)

What was your rank at time of discharge?

What type of training and work experience did you receive while in the military?

Describe how you most benefited from being in the service:

Describe how you least benefited from being in the service:

EMPLOYMENT HISTORY

Employer 1

Supervisor

Address

Phone

Position Title and Duties

Starting Date

Ending Date

Starting Pay

Ending Pay

Why did you leave this job?

May we contact this employer?

Yes No Later

Employer 2

Supervisor

Address

Phone

Position Title and Duties

Starting Date

Ending Date

Starting Pay

Ending Pay

Why did you leave this job?

May we contact this employer?

Yes No Later

Employer 3

Supervisor

Address

Phone

Position Title and Duties

Starting Date

Ending Date

Starting Pay

Ending Pay

Why did you leave this job?

May we contact this employer?

Yes No Later

REFERENCES

Name 1

Phone Number

Years Known

Name 2

Phone Number

Years Known

Name 3

Phone Number

Years Known

ADDITIONAL INFORMATION

Awards or Honors Received:

Professional or Civic Activities:

Licenses or Certifications:

Activities or Sports You Participate(d) In:

Do you have any foreign language skills?

Yes No

Can you perform all necessary job functions with or without reasonable accommodation?

Yes No

PROFESSIONAL PROFILE

Please answer all questions in this section. You may exclude information which would reveal sex, race, religion, national origin, age, color, disability, sexual orientation or other protected status.

What are your main areas of professional interest?

Why do you want to leave your current employer (if any)?

Why do you want to work for Son-D-Farms?

Explain a piece of criticism you have received and how you responded to it.

In what work setting or environment do you prefer to work?

Explain one of your greatest professional accomplishments and why it was so great.

Explain a time where you failed and how you dealt with that failure.

Career Goals and Aspirations

APPLICANT'S STATEMENT

I certify that the information provided in this application is true, to the best of my knowledge.

I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company. If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change.

I allow the Company to conduct investigations on me, my background and my performance, and am aware that such investigations will become a part of my employment record. With this, I authorize the Company to speak with my acquaintances, personal and professional, to gather information about me.

I authorize all former employers and references to provide any information about me to the Company, and release them of liabilities and damages of all kinds for providing this information. I authorize the Company to verify the accuracy of the information within this application. I also authorize the release of my educational transcripts to the Company for education verification purposes.

I release Son-D-Farms from liability for collecting information about me and using it to make employment decisions.

If I become employed by the Company, I understand that the employment relationship will be “at will,” and that the “at will” status may not change at any time unless specifically approved, in writing, by the CEO of the Company.

I agree that if I become indebted to the Company, I will be responsible for repaying the total owed upon termination from the Company. If I do not repay the sum prior to my final paycheck being received, the money owed will be deducted from my pay.

This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.

I Accept