Online Application Personal InformationName* First Last Address* Street Address Address Line 2 City 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 State ZIP Code Home Phone*Cell Phone*Email* Employment DesiredPosition Applying For* Company location applying for:* Date available to start* MM slash DD slash YYYY Are you seeking: Select All Full Time Part Time Temporary Have you ever applied with company before?* Yes No When?* MM slash DD slash YYYY Have you ever worked for company before?* Yes No When?* MM slash DD slash YYYY Where?* How did you hear about us?* Job Service Newspaper Radio Friend Relative Other Other* 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?* Yes No Do you currently live with anybody that works with other swine, or in a livestock slaughtering, processing or rendering facility?* Yes No Do you currently work with any swine or other livestock?* Yes No If you are under the age of 18, can you provide proof of eligibility to work?* Yes No Can you provide proof of your legal right to work in the United States?* Yes No EducationSchools*Name of SchoolDid you Graduate?Course of Study/Degree High School/GED, College, Graduate/Professional, Technical/OtherEmployment History*EmployerDates EmployedJob DutiesJob TitleSupervisorCity, StatePhoneReason for leavingMay we Contact? Please list your three most recent positions. Start with your present or most recent position.Comments Including explanation for gaps in employment.Job Skills and ExperiencePlease rate your experience level or knowledge in the following categories (1 being low, 4 being high):Breeding/Gestation ExperienceMoving sows* 1 2 3 4 Hand feeding* 1 2 3 4 Automated Feeding* 1 2 3 4 Selecting breed stock* 1 2 3 4 Estrus detection* 1 2 3 4 Artificial insemination* 1 2 3 4 Treating/vaccinating sows* 1 2 3 4 Data collection* 1 2 3 4 Computer controller mgt.* 1 2 3 4 Other* 1 2 3 4 List other experience* Farrowing ExperienceAttending farrowing* 1 2 3 4 Sizing/sorting pigs* 1 2 3 4 Split weaning* 1 2 3 4 Treating/vaccinating sows & pigs* 1 2 3 4 Processing pigs* 1 2 3 4 Day 1 Pig Care* 1 2 3 4 Weaning* 1 2 3 4 Data collection* 1 2 3 4 Computer controller mgt* 1 2 3 4 Other* 1 2 3 4 List other experience* Nursery ExperienceSizing and sorting* 1 2 3 4 Sick pen management* 1 2 3 4 Treating/vaccinating pigs* 1 2 3 4 Data collection* 1 2 3 4 Computer controller mgt* 1 2 3 4 Other* 1 2 3 4 List other experience* Finishing ExperienceSizing/sorting pigs* 1 2 3 4 Sick pen mgt.* 1 2 3 4 Treating/vaccinating pigs* 1 2 3 4 Data collection* 1 2 3 4 Computer controller mgt* 1 2 3 4 Other* 1 2 3 4 List other experience* Maintenance ExperienceThermostat & computer controllers* 1 2 3 4 V entilation fans* 1 2 3 4 Welding* 1 2 3 4 Carpentry* 1 2 3 4 Electric* 1 2 3 4 Plumbing* 1 2 3 4 Curtain systems* 1 2 3 4 Feed systems* 1 2 3 4 Cooling systems* 1 2 3 4 Filter systems* 1 2 3 4 Gas heating systems* 1 2 3 4 Pressure washers* 1 2 3 4 Manure management systems* 1 2 3 4 Other* 1 2 3 4 List other experience* Miscellaneous ExperienceSupervising employees* 1 2 3 4 Managing performance problems* 1 2 3 4 Accounts payable/receivable* 1 2 3 4 Receptionist/Administrative Asst.* 1 2 3 4 Data entry* 1 2 3 4 Training employees* 1 2 3 4 Other* 1 2 3 4 List other experience* Computer ExperienceMicrosoft Word* 1 2 3 4 Microsoft Excel* 1 2 3 4 Microsoft Access* 1 2 3 4 Microsoft Outlook* 1 2 3 4 Adobe Reader* 1 2 3 4 Internet Explorer* 1 2 3 4 PDF Program* 1 2 3 4 Other* 1 2 3 4 List other experience* Animal Rights StatementI 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*Date of Signature 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 report1 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.Name* First Last Signature*Date of Signature*