Are you 18 years of age older?
Date you can start
Are you employed now?
If so may we inquire of your present employer?
Have you ever worked at Peoria Packing?
Name & location of school
Last year completed
Did you graduate?
Subjects studies & degree(s) received
Subjects of Special Study or Research Work
Job Related Skills (typing, driver's license, etc.)
Activities other than religious
List below your last four employers, starting with the last one first.
Date Month & Year
Name & address of employer
Salary (upon leaving)
Reason for leaving
List below three persons not related to you, whom you have known at least one year.
I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.
I authorize investigation of all statements contained herein and the references listed to give you any and all information concerning my previous employement and any pertinent information they may have and I 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 empoyment is "at-will", there is no definite period of employement and may, regardless of the date of payment of my wages or salary, be terminated at any time without prior notice and without cause. I also inderstand and agree that for the first 90 days of my employment I will be an introductory employee subject to termination without cause and without prior notice.
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