Contractor Application

Independent Contractor Application Form

General Instructions: Please print clearly and answer all questions completely and accurately. Resumes will not be accepted in lieu of completed applications, but may be attached. Applicants will receive consideration without discrimination because of race, color, religion, sex, age, national origin, sexual orientation, marital status, disability, veteran status, or any other basis protected by law.

Independent Contractor Information

Name
Company Name (If applicable) Phone Number
Address City    
   
State Zip    
   

DESIRED Contract

Company or location of specific Independent Contractor position for which you are applying
Date available to start
Have you ever applied as an Independent Contractor before? NoYes
If yes, when?
Have you ever worked as a Independent Contractor before? NoYes
If yes, when?

How did you hear aboutour Independent Contractor position?

Job ServiceNewspaperRadioFriendRelativeOther
Do you currently live on a site or location with any swine or other livestock on it? NoYes
Do you currently live with anybody that works with other swine, or in a livestock slaughtering, processing or rendering facility? NoYes
Do you currently work with any swine or other livestock? NoYes
If you are under the age of 18, can you provide proof of eligibility to work? NoYes
Can you provide proof of your legal right to work in the United States? NoYes

PRIOR WORK HISTORY

Please list your three most recent positions. Start with your present or most recent position.

Company Name Dates  
Contact Person
Start


Finish

 

Address
City, State, Zip Rate of Pay
Telephone Number
Starting


Final

Job Duties/Responsibilities  

May we contact:NoYes

 


Company Name Dates  
Contact Person
Start


Finish

 

Address
City, State, Zip Rate of Pay
Telephone Number
Starting


Final

Job Duties/Responsibilities    

May we contact:NoYes

 


May we contact:NoYes

Company Name Dates  
Contact Person
Start


Finish

 

Address
City, State, Zip Rate of Pay
Telephone Number
Starting


Final

Job Duties/Responsibilities    
   

 

Comments, including explanation for gaps in employment.



JOB SKILLS AND EXPERIENCE

Please rate your experience level or knowledge in the following categories:

Low High

Breeding/Gestation Experience

1234 Moving Sows
1234 Hand feeding
1234 Automated Feeding
1234 Selecting breed stock
1234 Estrus detection
1234 Artificial insemination
1234 Treating/vaccinating sows
1234 Data collection
1234 Computer controller mgt.
1234 Other
If Other?
   

Farrowing Experience

1234 Attending farrowing
1234 Sizing/sorting pigs
1234 Split weaning
1234 Treating/vaccinating sows & pigs
1234 Processing pigs
1234 Day 1 Pig Care
1234 Weaning
1234 Data collection
1234 Computer controller mgt
1234 Other
If Other?
   
   

Nursery Experience

1234 Sizing and sorting
1234 Sick pen management
1234 Treating/vaccinating pigs
1234 Data collection
1234 Computer controller mgt
1234 Other
If Other?
   
   

Finishing Experience

1234 Sizing/sorting pigs
1234 Sick pen mgt.
1234 Treating/vaccinating pigs
1234 Data collection
1234 Computer controller mgt
1234 Other
If Other?
Low High
Maintenance Experience
1234 Thermostat & computer controllers
1234 Ventilation fans
1234 Welding
1234 Carpentry
1234 Electric
1234 Plumbing
1234 Curtain systems
1234 Feed systems
1234 Cooling systems
1234 Filter systems
1234 Gas heating systems
1234 Pressure washers
1234 Manure management systems
1234 Other
If Other?
   
   
Miscellaneous Experience
1234 Supervising employees
1234 Managing performance problems
1234 Other
   
   
Computer Experience
1234 Microsoft Word
1234 Microsoft Excel
1234 Microsoft Access
1234 Microsoft Outlook
1234 Adobe Reader
1234 Internet Explorer
1234 PDF Program
1234 Other
If Other?
 



I understand and acknowledge that providing false information, whether verbally or on the Independent Contractor Application Form, subjects me to the possibility of immediate termination of contract and to any legal remedies available.

I understand that in accepting this application as an Independent Contractor there is no obligation to provide me with  a contract and I am not obligated to accept contract if offered. 

 
Signature of Contractor (Digital)   Date