Employment Application

Applicant Information

First Name

Last Name

Date

Phone Number

Address (Line 1)

Address (Line 2)

City

State

Zip Code

Are You Eligible To Work In The USA?

Yes No

Are You 21 Years Of Age Or Older?

Yes No

Position Desired / Applying For:

Working at Grain Theory requires standing for long hours and lifting heavy loads of up to 60lbs. Are you able to perform these and other essential functions of the job for which you are applying?

Yes No

What date are you available to start?

Are you looking for part-time or full-time work?

Part-Time Full-Time

What shifts are you available to work?

Morning Afternoon Night

Hourly Rate / Salary Desired:

Employment History (past 7 years, most recent first)

Professional References

1st Reference - First Name

1st Reference - Last Name

1st Reference - Years Acquainted

1st Reference - Company

1st Reference - Phone Number

2nd Reference - First Name

2nd Reference - Last Name

2nd Reference - Years Acquainted

2nd Reference - Company

2nd Reference - Phone Number

3rd Reference - First Name

3rd Reference - Last Name

3rd Reference - Years Acquainted

3rd Reference - Company

3rd Reference - Phone Number

What special skills, experience and/or training do you have that would enhance your ability to perform the position applied for?

How did you hear about Grain Theory?

Why do you want to work at Grain Theory?

Upload Resume Here

Acknowledgements

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Grain Theory to hire me. If I am hired, I understand that either Grain Theory or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Grain Theory has the authority to make any assurance to the contrary. By choosing "I understand" below, I authorize Grain Theory to contact any of my references listed above, or previous employers, for purposes of inquiring about my qualifications for the job. In addition, I attest by selecting "I understand" below that I have given to Grain Theory true and complete information on this application and in any submitted resumes. No requested information has been concealed. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE FILLED IN BY APPLICANT

We don’t always have open positions but will accept general employment applications

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