Employment | Original Grain

What location are you interested in working?*

What position are you interested in taking?*

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Applicant Information

Name

First Last

Email

Phone Number

Address

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

Position Details

Date you can start:*

What is your desired salary?*

Shift Hours

Breakfast

7am – 11am

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Lunch

11am – 4pm

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Dinner

4pm – 10pm

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Late Night

10pm – 4am

Thursday
Friday
Saturday

Work History

Name of Previous Employer (1 of 3)*

Employed from:*

Employed to:*

Previous Employer Address*

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

Name + Title of Supervisor*

Phone number*

Starting Position Title*

Ending Position Title (if different than above)

Job Responsibilities*

What was Your Reason for Leaving?

May We Contact this Employer?

Yes
No

Name of Previous Employer (2 of 3)

Employed from:

Employed to:

Previous Employer Address

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

Name + Title of Supervisor

Phone number

Starting Position Title

Ending Position Title (if different than above)

Job Responsibilities

What was Your Reason for Leaving?

May We Contact this Employer?

Yes
No

Name of Previous Employer (3 of 3)

Employed from:

Employed to:

Previous Employer Address

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

Name + Title of Supervisor

Phone number

Starting Position Title

Ending Position Title (if different than above)

Job Responsibilities

What was Your Reason for Leaving?

May We Contact this Employer?

Yes
No

Education

What High School did you Attend?

High School Address

Street Address City State / Province / Region ZIP / Postal Code

Attended from:

Attended to:

Did you Graduate?

Yes
No

High School Degree (Standard Diploma, Regents Diploma...etc) if Applicable

Did you Attend College?

Yes
No

College Education

Name of College or University

Address

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

Attended from:

Attended to:

Did you graduate?

Yes
No

Major or Area of Study

Personal References

Reference's First and Last Name (1 of 3)

Reference's Phone Number

Number of Years You've Known this Reference

Origin of Your Relationship with this Reference?

May We Contact this Person?

Yes
No

Reference's First and Last Name (2 of 3)

Reference's Phone Number

Number of Years You've Known this Reference

Origin of Your Relationship with this Reference?

May We Contact this Person?

Yes
No

Reference's First and Last Name (3 of 3)

Reference's Phone Number

Number of Years You've Known this Reference

May We Contact this Person?

Yes
No

Origin of Your Relationship with this Reference?

Please attach a copy of your resumé

Accepted file types: pdf, txt, Max. file size: 8 MB.

Terms & Conditions*

In compliance with Federal and State equal employment opportunity laws, it is this company's intention to consider all applicants without regard to race, color, religion, sex, national origin, age, marital status, disability, the presence of non-job related medical conditions, or any other protected classification. I declare that I am qualified to perform all the duties of the position I am seeking. I also declare that the information I have provided on this application is correct and that any faults statements or omissions will justify my rejection or dismissal. I authorize the company to contact any of my previous employers as well as any reference source to verify the facts and information I have furnished regarding information provided on this application, on my resume, or during my interview. I authorize any person(s) having knowledge to provide such information to the company, and release from liability and agreed to hold harmless any person(s) that furnishes such information in good faith, as allowed by applicable state and federal laws. I will agree to a drug test, if permitted by law, to be paid for by the company. Should I become involved in a claim for worker's compensation or any other litigation after employment by the company, I will allow the company to supply my employment records (as allowed by applicable state and federal laws to an opposing party. If employed by the company, I understand that I will be an employee at will and my employment with Original Grain or any of its subsidiaries or affiliates, may be terminated at any time by myself or Original Grain for any reason whatsoever. Should I become employed at Original Grain, I also authorize Original Grain to conduct any additional background checks should they become necessary at any point during my employment. Finally, I understand that this is only an application for employment and either an offer of or a contract of employment and no part of this application shall be construed as an offer of employment or an employment contract. The Agreement to Arbitrate accompanying this application must be read and signed in order for you to be considered for employment with Original Grain or any of its related companies. By signing the Agreement to Arbitrate I understand that the employment at will relationship will not be altered.

I Agree to These Terms

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Applicant Information

Position Details

Shift Hours

Work History

Education

College Education

Personal References

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