EMPLOYMENT
THIS IS A PRINTER FRIENDLY APPLICATION.
PRINT AND FILL OUT COMPLETE. SEND APPLICATION BY MAIL TO;

Personal Information
First Name: _____________________________
Middle Name: ___________________________
Last Name: _____________________________
Social Security Number: __________________
Street Address: ______________________________
City: _______________ State: _______ Zip: ________ County:___________
Home Phone: _________________
Business Phone: ______________
Have you ever applied for employment with us?
Yes: _______ No: _______ If yes, when?:____________________________
Position Desired
Title: _______________________________________
Desired Salary: $_______
If you prefer to work in a different zip code than where you currently live,
please indicate where you would like to be located below.
City: ______________________________ State: ______ Zip: ________
Work Eligibility
Are you eligible to work in the United States? Yes: _______ No: _______
Are you available to work holidays? Yes: _______ No: _______
When will you be available to begin work? ______/______ (Month/Year)
Are you 18 or older? Yes: _______ No: _______
Have you been convicted of or pleaded no contest to a felony within the last
five years? Yes:_______ No:_______
If yes, please explain: _________________________________________
___________________________________________________________
Have you been convicted of, pleaded guilty to, or pleaded no contest to, an
act of dishonesty, or breach of trust or moral turpitude, such as misdemeanor
petty theft, burglary, fraud, writing bad checks, and other related crimes
within the last five (5) years? * Yes: _______ No: _______
If yes, please explain: _________________________________________
___________________________________________________________
Do you have other special training or skills (additional spoken or written
languages, computer software knowledge, machine operation experience, etc.)?
_________________________________________________________
_________________________________________________________
How did you hear of our organization?
___________________________________________________________
___________________________________________________________
___________________________________________________________
*Conviction of a crime, or pleading guilty to a criminal charge, will not necessarily disqualify you from the job for which you are applying. Each conviction or plea will be considered with respect to time, job relatedness, and other relevant factors.
Availability
Days Available
Sun. ____ Mon. ____ Tues. ____ Wed. ____ Th. ____ Fri. ____ Sat. ____
Total Hours Available: _______ Hours Available: from _______ to ______
Education
High School: __________________________________ City:______________ State:
_______
College: ______________________________________ City:______________ State:
_______
Course of Study: ___________________________________ # of Years
Completed:_______
Did You Graduate? Yes: _______ No: _______ Degree: _________________________
Employment History
Please give accurate and complete full-time employment record. Start with present or most recent employer. Include military experience if applicable.
Position #1
Company Name: _________________________ City:_____________________ State:
_______
Company Phone Number: ________________________
Job Title: _____________________________________
Name of Supervisor: ____________________________
Employed (Month and Year) From: _______ To: _______
Weekly Pay:_______
Describe your work: __________________________________________
__________________________________________________________
May we contact this employer? Yes: _______ No: _______
If not, why not? _______________________________________________
Reason for leaving: ____________________________________________
Position #2
Company Name: _________________________ City:_____________________ State:
_______
Company Phone Number: ________________________
Job Title: _____________________________________
Name of Supervisor: ____________________________
Employed (Month and Year) From: _______ To: _______
Weekly Pay:_______
Describe your work: __________________________________________
__________________________________________________________
May we contact this employer? Yes: _______ No: _______
If not, why not? _______________________________________________
Reason for leaving: ____________________________________________
Position #3
Company Name: _________________________ City:_____________________ State:
_______
Company Phone Number: ________________________
Job Title: _____________________________________
Name of Supervisor: ____________________________
Employed (Month and Year) From: _______ To: _______
Weekly Pay:_______
Describe your work: __________________________________________
__________________________________________________________
May we contact this employer? Yes: _______ No: _______
If not, why not? _______________________________________________
Reason for leaving: ____________________________________________
Conditions of Employment
Paso Meat and Sausage Co. sets high standards for its employees, and compliance with these standards is a condition of employment. If you are offered a position with PM&S, you need to carefully consider what we would require of you before you accept. As an employee, you must do everything you can to make our external and internal customers feel like customers, including:
Are you willing and able to comply with all the requirements listed? Yes:
_______ No: _______
If your answer is no, or if you have concerns about being able to comply with
any of these requirements, please explain:
_________________________________________________________
_________________________________________________________
Agreement of the Transfer of Information
I declare the information provided by me in this application is true, correct, and complete to the best of my knowledge. I understand that if employed, any falsification, misstatement, or omission of fact in connection with my application, whether on this document or not, may result in immediate termination of employment. I authorize you to verify any and all information provided above.
I acknowledge that employment may be conditional upon successful completion of a substance abuse screening test as part of the Company's pre-employment policy.
I acknowledge that if I become employed, I will be free to terminate my employment at any time for any reason, and that PM&S retains the same rights. No PM&S representative has the authority to make any contrary agreement.
I understand it is unlawful to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal and/or civil liabilities.
Signature: ________________________________________Date:__________
Printed Name: _________________________________________