Apply - Kreamer Feed

Position Applying For:*

Name (first and last)*

Resume, if applicable

Max. file size: 16 MB.

Contact Information

Current Mailing Address*

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

Permanent Address (if different from above)

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

Email address:

Phone number:*

Have you ever worked for Kreamer Feed or BJE Poultry in the past?*

If you answered Yes to the question above, what were your approximate dates of employment?

Have you ever served in the United States Armed Forces?*

If you answered Yes to the question above, what were your approximate dates of service?

Current military status, if applicable:

Active Duty
National Guard
Reserves
Discharged

If applicable, please list your type of military discharge:

Are you currently legally authorized to work within the United States?*

(Proof of work authorization will be required prior to the commencement of employment.)

Have you ever been convicted of a felony or misdemeanor?*

(Conviction of a crime will not necessarily disqualify an applicant from employment.)

If you are under 18 years of age, are you currently authorized to work within Pennsylvania?*

(Proof of work authorization will be required of all individuals under 18 years of age prior to the commencement of employment.)

Do you have a valid/current driver's license?*

Do you have a current Class A/CDL driver's license?*

When are you available to work?*

What times are you available to work?*

Times above subject to change.

Are You Interested In:*

Total hours available per week:*

Date available to begin work:*

Current Employment

Are you currently employed?*

If so, where?

May we contact your employer?

Your employer's phone number:

Education

Highest Grade Completed*

Please list your higher-education degree and college/university, if applicable:

Last school name and address*

Other education (please specify):

SPECIALIZED SKILLS, CERTIFICATIONS, AND/OR OCCUPATIONAL LICENSES:

Past Employment

Start with your present or most recent job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, or other protected status.

Employer	Job Title	Address	Phone	Employed from (Month/Year - Month/Year):	Supervisor	Ending wage or salary	Reason for leaving

Job-related military service assignments and/or volunteer activities:

References

Name	Address	Relationship to you	Phone	Years Known

Emergency Contacts

In case of an emergency, please contact:*

Name	Phone	Relationship to you

APPLICANT STATEMENT

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is on an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledge in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.

Consent*

I agree to the statement made above.

Date*

Phone

This field is for validation purposes and should be left unchanged.

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