Step 1 of 4 25% Your Personal InformationYour Name First Middle Last Your Email Address Your PhoneAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Best way to contact you Call Text Email Where did you see this job posting?: Employment DesiredPositionDate you can start Desired SalaryAvailable (please check all that apply) Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select AllLocation(s) Desired for Employment Canby Clements Comfrey Danube Ghent Hendricks Marshall Minneota Morgan Morton Olivia Renville Sacred Heart Slayton Springfield Wabasso Wood Lake Open Are you looking for Seasonal Part Time Full Time What hours are you available to work?Are you currently employed? Yes No May we contact your present employer? Yes No Supervisor First Last PhoneHave you ever worked for this employer under a different name? Yes No If yes, what name?Have you ever applied with us before? Yes No If so, when?Have you ever received a written reprimand, or disciplinary suspension during any previous employment? Yes No If yes, please describe where and write and explanation:Have you ever been discharged or asked to resign? Yes No Yes, please describe where and write and explanation:Are you 18 years or older? Yes No Are you legally authorized to work in the U.S.? Yes No EducationThe age discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but not less than 70 years of age.Schools AttendedGrammar School, High School, College, Trade/CorrespondenceName of School & Town/StateNo. of Years AttendedDid you graduate?Area(s) of Concentration Add RemoveExtra-curricular activities and achievementsU.S. Military or Naval Service Yes No Work ExperienceFormer EmployersList most recent employers in sequ3ence of employment.Date (MM/YY) From & ToName of EmployerTown/StateTelephonePositionReason for Leaving Add RemoveIf you do not have any work history, please explain: ReferencesGive the names of three persons not related to you, whom you have known at least one year.NameCity and PhoneRelationshipYears Known Add RemoveAdditional comments, skills or information you feel is relevant to the position you are applying for.Positions that require operating a company vehicle or mileage reimbursement, must submit upon acceptance of a formal employment offer, approval for Farmward Cooperative to attain your current Motor Vehicle Report (MVR). MVR's will be reviewed to determine your insurability based on Farmward's insurance carrier and company policy. Failure to be insurable may be cause for an employment offer to be rescinded.Applicant Statement(Required)"I certify that the facts contained in the application are true and complete to the best of my knowledge and understand that, if hired, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice." I agree to the terms and conditions.
