Application for Employment

General Instructions: Please enter 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.

PERSONAL INFORMATION

Last Name First Name Middle Name
Address City State Zip
Home Telephone Number Cell Telephone Number E-Mail

EMPLOYMENT DESIRED

Position applying for Work location applying for
Date available to start
Are you seeking: Full TimePart TimeTemporary
Have you ever applied with our company before? NoYes
If yes, when?
Have you ever worked for our company before? NoYes
If yes, when and where?

How did you hear about us?

Job ServiceNewspaperRadioFriendRelativeOther
If you were referred by a current employee, please list the employee’s name:
Do you currently live on a site or location with any swine or other livestock on it? 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

EDUCATION

School Name (write schools below) Graduate Course of Study/Degree
High School/GED NoYes
College NoYes
Graduate/Professional NoYes
Technical/Other NoYes
School Name:



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

Accounts payable/receivable

1234 Receptionist/Administrative Asst.
1234 Data entry
1234 Training employees
1234 Other
If 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?



EMPLOYMENT HISTORY

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

Employer Dates Employed Job Duties/Responsibilities
City, State
From


To

May we contact:NoYes

Telephone Number
Job Title Hourly Rate/Salary
Supervisor
Starting


Final

Reason for Leaving:


Employer Dates Employed Job Duties/Responsibilities
City, State
From


To

May we contact:NoYes

Telephone Number
Job Title Hourly Rate/Salary
Supervisor
Starting


Final

Reason for Leaving:


Employer Dates Employed Job Duties/Responsibilities
City, State
From


To

May we contact:NoYes

Telephone Number
Job Title Hourly Rate/Salary
Supervisor
Starting


Final

Reason for Leaving:

 

Comments, including explanation for gaps in employment.

Animal Rights Statement

I understand that animal rights organizations have goals that are counterproductive to animal agriculture. By signing this application, I certify and acknowledge that I am not now nor have I ever been a member of PETA (People for the Ethical Treatment of Animals) or any other animal rights organization. I understand that it is my obligation to the Company to notify my supervisor or another member of management if I ever join or am recruited by PETA or any other animal rights organization. I understand and acknowledge that joining PETA or any other animal rights organization while employed by the Company subjects me to the possibility of immediate termination. Further, I understand and acknowledge that failing to provide such information to the Company subjects me to the possibility of immediate termination. Finally, I understand and acknowledge that providing false information, whether verbally or on the employment application, subjects me to the possibility of immediate termination and to any legal remedies available to the Company.

In consideration of my employment, I agree to conform to the policies and procedures of the Company I understand that in accepting this application, the Company is in no way obligated to provide me with employment and I am not obligated to accept employment if offered. Furthermore, if employed, I understand I am employed at will and my employment and compensation can be terminated with or without cause, and with or without notice at any time.

I certify the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statements on this application or omission of fact on either this application or during the pre-employment process will result in my application being rejected, or if I am hired, in my employment being terminated.

I also understand that any offer of employment is conditioned on the completion of proper documentation and failure to successfully provide documentation will result in my offer of employment being rescinded, or if employment has began, my employment will be terminated.

 
Signature of Applicant (Digital)   Date





Fair Credit Reporting Act – Consent to Obtain Consumer Report

Please Read Carefully Before Signing this Authorization

NOTICE: Suidae Health and Production, P.C. may use a consumer report for decisions related to your employment.

I consent to Suidae Health and Production, P.C. (“Suidae”) obtaining a consumer report on my behalf to be used for employment purposes, and specifically for decisions related to my employment. I also understand that Suidae may obtain the consumer report(s) so that Suidae can conduct a background check. I understand that Suidae may seek a consumer report, with the assistance of a third party or third party company, and I consent to it doing so.

I understand that it may be useful for Suidae to obtain consumer reports throughout the course of my employment. Accordingly, I authorize Suidae to obtain consumer reports on my behalf throughout the course of my employment with the company.

I understand that before Suidae can take an adverse action (such as discipline, promotion, retention, reassignment, etc.) based, in whole or in part, on the information in my consumer report, I will be provided with a copy of the consumer report and a summary of my rights under the Fair Credit Reporting Act.

My signature below indicates that I have read and understood that I am authorizing Suidae to obtain a consumer report on my behalf.

   
Signature of Employee      Employee's Name - Printed   Date