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Career Application - for Testing

Step 1 of 7 - Application Information

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Application Information

AFCO Distribution is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age, or disability. Thank you for filling out this application and for your interest in our company.

What position are you applying for?(Required)

What is your preferred work location? (Select all that apply)(Required)

Administration

AFCO Mill

Customer Service

Warehouse - East

Warehouse - West

How did you hear about this job?(Required)

Where online?(Required)

AFCO employee name & relation to you(Required)

If other, please specify(Required)

Applicant Information

Legal Name(Required)

First Last

Preferred Name (if different from legal)

First

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email Address(Required)

Phone Number(Required)

General Information

Have you ever applied to or worked for AFCO, Country Store, or Skagit Farmers Supply?(Required)

Yes

If yes, what postion?(Required)

When?(Required)

Date you can start work(Required)

MM slash DD slash YYYY

Desired Employment Type (Select all that apply)(Required)

Full Time

Part Time

Seasonal/Temporary

Days available to work(Required)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Hours per week available to work(Required)

Desired wage

Are you at least 18 years of age?(Required)

Yes

Do you have a valid Driver's License?(Required)

Yes

Are you authorized to work lawfully in the United States?(Required)

Yes

Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status)? Note: If you are hired, you will be asked to provide proof of your work eligibility.(Required)

Yes

Do you have any relatives, friends, or acquaintances currently working at AFCO Distribution?(Required)

Yes

If yes, what is their name and relation to you?(Required)

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?(Required)

The company complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that an applicant may be tested on skill/agility and subject to a medical examination conducted by a medical professional.

Yes

If no, please describe the functions that cannot be performed.(Required)

Education

Do you have your high school degree or GED?(Required)

Yes

What's your highest level of education?(Required)

Additional Information(Required)

Please use this space to elaborate on any competences, computer skills, knowledge, background, experience or other qualifications that you believe should be considered. You may include hobbies, volunteer experience or any other activities you believe relevant. Attach a separate page if necessary on page 7. Please omit any information that would disclose your race, gender, age, marital status, ethnic origin, religious or political affiliations, criminal history or disability.

Employment History

Please account for the last 7 years of employment, starting with the most recent. If necessary, any additional sheets can be attached on page 7.

Previous Employers

Employer

Job Title

Start of Employment Date

End of Employment Date

Reason for leaving

Please list the jobs you held, duties you performed, skills used or learned, advancements or promotions while you worked for this employer

Address

City State / Province / Region

Contact Person

Phone Number

May we contact this employer?

Yes

References

Please list two references other than relatives. You may skip this section if providing references as an attachment.

Name

Relationship

Phone

Name

Relationship

Phone

Additional Information

Resume Upload

Accepted file types: pdf, doc, docx, Max. file size: 2 MB.

Additional Documents

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 2 MB.

Application Statement

Did you complete this application yourself?(Required)

Yes

If not, who did?(Required)

In exchange for the consideration of my job application by Skagit Farmers Supply (also known as “AFCO Distribution & Milling” or “Country Store”), (hereinafter called “the Company”), I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the CEO or Board of Directors of the Company. Both the undersigned and the Company may end the employment relationship at any time without specified notice or reason, where allowable by law. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for may be cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, all previous employers (unless otherwise indicated), references and others, and herby release the Company from any liability because of such contact.
I understand that, in connection with the routine processing of your employment application, the company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics and mode of living. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I certify that all entries on this application are true and complete to the best of my knowledge.

Agreement(Required)

I Agree

Applicant's Name(Required)

Today's Date(Required)

MM slash DD slash YYYY

What's your highest level of education?

Education type

School Name

Degree/Field of Study (if applicable)

Did you graduate?

Yes

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Career Application - for Testing

Application Information

Applicant Information

General Information

Education

Employment History

References

Additional Information

Application Statement

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