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Send Application To: |
Dutch Farms, Inc.
700 E. 107th Street
Chicago, Illinois 60628 |
Phone: 773-660-0900
Fax: 773-660-1044
Web: www.dutchfarms.com |
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NOTE:
- You must be legally eligible for employment in the United States and be able to provide documents of eligibility.
- A high school diploma or GED is required for employment.
- Please answer all questions completely and accurately. It is Dutch Farms policy is to verify information.
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- Qualified applicants will receive consideration regardless of race, age, sex, creed, national origin or disabilities.
- Criminal convictions do not necessarily bar applicants from employment.
- A pre-employment physical and drug test may be required.
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Present Address
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If no phone, how can we contact you?
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Preferred category:
Full Time
Part Time
Either |
Shift Desired:
Dayshift
Nightshift
Either |
Do you have any commitments that make it difficult for you to consistently work full shifts?:
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Do you have any relatives or friends who work for Dutch Farms?:
Yes
No |
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Have you been convicted of any crime in the last 5 years?
Yes
No |
If yes list the type, county, state and date:
Dutch Farms may verify via a criminal check. |
Have you ever been warned/discharged by an employer for absenteeism, tardiness, failure to notify your
employer when absent, or any other attendance problem?
Yes
No |
Have you ever been warned about or discharged for sexual harassment, fighting, weapons, or related offense?
Yes
No |
Have you ever been warned or discharged by past employer for violating safety rules?
Yes
No |
Please explain if you responded yes to any of the three previous questions:
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(Please include any military background within this section) |
Most Recent Employer |
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Second Most Recent Employer |
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Other Recent Employer |
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I certify that the answers given by me to the above questions and the statements made by me are complete and true to the best of my knowledge. I understand that any false information, omissions or misrepresentations of facts in this application may result in rejection of my application or discharge at any time during my employment. I authorize Dutch Farms, Inc. and/or its agents, including consumer reporting bureaus, to verify any of the information I have provided. I authorize all former employees, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release and hold harmless said persons from any liability for any damage for issuing this information. I also understand that the use of controlled substances is prohibited during employment. I am willing to submit to drug/alcohol testing to detect the use of illegal drugs prior to and during employment. I understand that this application or the acceptance of the same does not constitute an employment contract of any kind. I further understand and agree that if employed, the employment will be “at will”. That is, either Dutch Farms, Inc. or I may end the employment relationship at any time for any reason. |
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