Apply | Frenchman Valley Coop

Job Application Form

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Step 1 of 6

First Name

Middle Initial

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Have you lived at this address for the past three years?

If “No” please provide addresses for the past three years.

Please read and understand this statement before signing your application:

The information I have provided in this Application for Employment is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize the employer to contact and obtain information about me from previous employers, educational institutions, and “references” I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organiza- tions who provide information for this purpose.

This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.

This application is not an employment agreement. If I accept an offer of employment I understand I may resign at any time, and the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.

Pre-Employment Urinalysis Consent: I understand as a condition of employment with Frenchman Valley Coop I must submit to a controlled substance test. A urine sample will be collected and tested for controlled substances. I also understand that if I test positive for use of controlled substances, I will not be considered for employment with Frenchman Valley Coop.

I fully understand and accept all terms and conditions in the above statement.

Signature

Clear Signature

Date

Experience the future of farming with us.

Our comprehensive range of products and services ensures your livestock receive the best nutrition, enhancing health and productivity.

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Previous Employment

This section needs to be filled out by any person seeking employment that will require driving of any type (pickups, machinery, trucks, etc.)

If you are not applying for a position that will require driving, please skip this section.

Drivers Licenses

List all driver licenses or permits held in the past 3 years.

Driving Experience

Accident History

Accident record for the past three years or more, with most recent accident listed first. If none, leave blank.

Traffic Convictions and Violations

Traffic convictions and forfeitures for the past 3 years (other than parking violations). If none, leave blank.

Please read and understand this statement before signing your application:

I fully understand and accept all terms and conditions in the above statement.

Experience the future of farming with us.