Farmers Rice Milling Company
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To apply for a position at Farmers Rice Milling Company please fill out the application below.
APPLICATION FOR EMPLOYMENT
THE POWELL GROUP
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.
Position(s) Applied For
Date of Application
How Did You Learn About Us?
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Friend
Agency
Relative
Other
*Last Name
*First Name
Middle
*Address
*City
*State
*Zip
Telephone Number(s)
*Home:
Cell:
Fax:
Best time to contact you at home is:
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Yes
No
N/A
Have your filed an application with us before?
Yes
No
If Yes, give date:
*Have you ever been employed with us before?
Yes
No
If Yes, give date:
*Do any of your friends or relatives, other than spouse, work here?
Yes
No
If Yes, state name, relationship and location:
Are you currently employed?
Yes
No
May we contact your present employer?
Yes
No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Yes
No
Proof of citizenship or immigration status will be required upon employment.
Date available for work:
What is your desired salary range?
Are you available to work:
Full Time
Part Time
Temporary
Available for Shift Work:
Yes
No
Please indicate shift:
Mornings
Afternoon
Please indicate dates available:
From:
To:
Are you currently on "lay-off" status and subject to recall?
Yes
No
Can you travel if a job requires it?
Yes
No
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
EDUCATION
School
Name and Address of School
Course of Study
Years Completed
Diploma/Degree
High School
Undergraduate College
Graduate/Professional
Other (Specify)
WORK EXPERIENCE
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, national origin, disabilities or other protected status.
Employer
Dates Employed
Work Performed
Address
From
To
Phone
Job Title
Hourly Rate/Salary
Supervisor
Start
Finish
Reason Left
May We Contact?
Yes
No
Employer
Dates Employed
Work Performed
Address
From
To
Phone
Job Title
Hourly Rate/Salary
Supervisor
Start
Finish
Reason Left
May We Contact?
Yes
No
Employer
Dates Employed
Work Performed
Address
From
To
Phone
Job Title
Hourly Rate/Salary
Supervisor
Start
Finish
Reason Left
May We Contact?
Yes
No
Employer
Dates Employed
Work Performed
Address
From
To
Phone
Job Title
Hourly Rate/Salary
Supervisor
Start
Finish
Reason Left
May We Contact?
Yes
No
Comments: (Include explanation for any gaps in employment.)
Describe any specialized training, apprenticeship, skills and extracurricular activities.
Describe any job-related training received in the United States Military.
List professional, trade, business or civic activities and offices held.
Additional information
Other Qualifications
(Summarize special job-related skills and qualifications acquired from employment or other experience.)
Specialized Skills
Terminal
Spreadsheet
Production/Mobile Machinery
Other (list)
PC/MAC
Word Processing
Typewriter
Shorthand
WPM
WPM
State any additional information you feel may be helpful to us in considering your application.
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities in such a job or occupation has been given.
Yes
No
PERSONAL/PROFESSIONAL REFERENCES
Do not include family members or past supervisors
Name
Phone #
Best Time to Call
Occupation
I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, an employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause, If is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application for interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer.
Farmers Rice Milling Company
