Turasky Meats Job Application

If you need help filling out this application form or for any phase of the employment process, please notify the person that gave you this form and every effort will be made to accommodate your needs in a reasonable amount of time. Provide only requested information. Failure to do so may result in disqualification of your application. Some packets may include an AFFIRMATIVE ACTION questionnaire. This information is kept separate from your application at all times. Section 503 of the Rehabilitation Act of 1973. The information requested is voluntary and will not be kept with your application. All applicants will be considered without regard to sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, religion, height, weight, union or non-union activity, or mental or physical disability.

PLEASE NOTE: Your application will not be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical. Ask for a phone book or call information if necessary. FOR EMPLOYERS OUTSIDE THE U.S., A CURRENT FAX NUMBER IS MANDATORY.

Position applied for:

First

Last

SSN

Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

APPLICANT NOTE: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process, or if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, religion, height, weight, union or non-union status, or physical or mental handicap or disability. A conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review by a medical professional designated by the company.

Availability

What date can you start?

What category would you prefer?

For which schedules are you available?

Weekdays

Weekends

Evenings

Nights

Overtime

Shift

Other…

Job Related Skills

If the job requires, do you have the appropriate valid driver’s license?

Drivers License Number

Type

State of Issue

Have you had any moving violations within the last seven years?

Yes

Describe

Please list any other skills, licenses or certificates that may be job-related or that you feel would be of value to this job or company:

Have you been given a job description or had the essential functions of the job explained to you?

Do you understand these essential functions?

Can you perform the essential functions of this job with or without reasonable accommodation?

List states and counties of residence for the past seven years:

Please list below.

Have you been convicted of a felony?

Yes

Please list all and include, city/state of conviction and charge.

Employers

Employers
	Company City State Phone Start Date End Date Duties Reason for leaving	Item weight

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References

Re-order	Name	Address/Phone	Yrs known/Relationship	Weight	Operations
	Name	Address/Phone	Yrs known/Relationship	Item weight

more items

Education

Re-order	Name	City/State	Graduated	Degree Type	Weight	Operations
	Name	City/State	Graduated Yes No	Degree Type	Item weight

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Certification and Release

I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information. I release all former employers, persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

Signature

Sign above