Sietsema Farms' Online Application
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Sietsema Farms Application Process *

Notice to Applicant: Federal and state law requires that all applications be considered without regard to race, religion, color, sex, age, or national origin.  We believe in and fully support the principle of equal employment opportunity and will fulfill our obligation to the fullest.  If an applicant lists any criminal convictions on this application, they will not automatically be disqualified from consideration for a position; all circumstances surrounding the conviction will be considered before making a hiring decision. Applications must be filled out in their entirety in order to be considered.  Applications that are not completed may be drawn from consideration.  no resumes please.  instead completely fill out employment experiences in the space given on this form. Applications are only considered open for 6months after they are received by human resources.  If a position becomes available during that time your application will be considered.  After that 6month period your application will be removed from our file.
     
 
Full Legal Name (First Middle Last): *

 
Date Of Birth: *

 
Driver’s License: *

If you do not have a driver's license, please note that.
 
Social Security Number: *

If you do not have a social security number, please note that.
 
Phone Number:

 
Email Address:

 
Sex: *


 
Height:

 
Weight:

 
Are you a U.S. citizen? *

     
 
Present Address:

 
How long have you lived there?

 
Most Recent Previous Address In The Last 5 Years:

 
Position(s) Applying For:

 
Work Schedule Desired:

 
Desired Rate Of Pay (Staring, 6 Month, 1 Year):

 
How did you hear about this opening or organization in general?

 
Have you worked with us before? *

     
 
List any friends/relatives working with us currently.

 
Are you a member of any interest or animal organizations? *

     
 
Do you own/host any type of poultry (chickens, house birds, ducks) on your personal property?

If yes, please give details.
 
Have you ever been convicted of a crime?

If yes, please elaborate the events.
 
Are there currently any criminal charges against you?

If yes, please elaborate the events.
 
Do you/have you had a physical or mental handicap or an illness (in the past five years) that would limit your ability to perform essential functions of a position with the organization?

If yes, please elaborate the events.
 
High School Information

Please list school/schools attended and also the graduation dates.
 
College Information

Please list school/schools attended, degrees earned and also the graduation dates.
 
Specialized Training Information

Please list all specialized training along with the dates of the training.
 
Previous Employment 1 (Optional)

 
Company Name:

 
Company Address:

 
Company Contact:

 
Company Phone Number:

 
Position Held:

 
Start Date:

 
End Date:

 
Pay Rate:

 
Responsibilities:

 
Reason For Leaving:

 
Previous Employment 2 (Optional)

 
Company Name:

 
Company Address:

 
Company Contact:

 
Company Phone Number:

 
Position Held:

 
Start Date:

 
End Date:

 
Pay Rate:

 
Responsibilities:

 
Reason For Leaving:

 
Previous Employment 3 (Optional)

 
Company Name:

 
Company Address:

 
Company Contact:

 
Company Phone Number:

 
Position Held:

 
Start Date:

 
End Date:

 
Pay Rate:

 
Responsibilities:

 
Reason For Leaving:

 
May we contact these employers for a reference? *

     
 
Explain Any Specialized Training Or Additional Skills That Were Not Listed Already:

 
Driver Questions (Skip If Not Applicable):

 
Have you ever been disqualified under Federal Motor Carrier Safety Regulations guidelines?

 
Have you ever been convicted of are any charges pending for driving while under the influence of alcohol, a narcotic drug, amphetamines or methamphetamines or derivatives thereof?

 
Have you ever tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past three years?

 
Has any license, permit, or privilege to operate a motor vehicle issued to you ever been denied, revoked or suspended? If so, please list the date and circumstances.

 
Driving School Information:

Please list school names along with dates.
 
Driving Experience:

Please detail your driving experience.
 
List all motor vehicle accidents in which you were involved in the past 3 years.

 
Military Service:

Please list any military service including branch information and dates.
 
References:

Please list all references (name, phone and relationship to you).
 
I, {{answer_68135716}} agree to the following statement? *

The information provided in this application for employment is true and complete to the best of my knowledge.  I understand that if I am employed, false statements will be considered as cause for possible dismissal.  Sietsema Farms is hereby authorized to conduct any investigation of my personal history and/or credit and financial records and all employment history including references, employing investigative or credit agencies or bureaus of the company’s choice subject to the provisions of the Fair Credit Reporting Act.
     
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