Application – Alcam Creamery – West Point Dairy Products

Position Applied For: *

How did you find out about this position?

Current Employee Referral

Other

Personal Information

Name *

First

Middle

Last

Email *

Phone *

Best time to contact you at home is? *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Are you at least 18 years of age? *

Yes
No

Can you provide required proof of your eligibility to work? *

Yes
No

Have you ever filed an application with us before?

Yes
No

Have you ever been employed with us before?

Yes
No

Do any of your friends or relatives, other than spouse, work here?

Yes
No

Friend or Relative Name

Friend or Relative Relationship

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

Full Time availability?

1st Shift
2nd Shift
3rd Shift

Part Time availability?

Mornings
Afternoons
Evenings

Are you currently on "lay-off" status and subject to recall?

Yes
No

Can you travel if a job requires it?

Yes
No

Have you been convicted of a felony within the last five years?

Yes
No

A criminal record does not constitute an automatic bar to employment and will be considered only as it relates to the job in question.

Can you perform the essential functions of the job, for which you are applying, either with or without reasonable accommodation?

Yes
No

Do not answer this question unless you have been informed about the requirements of the job for which you are applying.

State any additional information you feel may be helpful to us in considering your application, including any job-related training in the U.S. Military.

Education - Last completed level (High School, College, etc.)

School Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Course of study?

Number of years completed?

Diploma/Degree?

Employment Experience

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Starting/Current Job Title

Supervisor

Start date

End date

Reason for leaving

Starting Rate/Salary

Ending Rate/Salary

Work performed

May we contact?

Yes
No

References

Name

First

Last

Phone

Best time to call?

Occupation

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Click or drag a file to this area to upload.

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 period 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, any 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. It 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 or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer. *

I accept the terms of this employment application.