Swift Greenhouses, Inc.

2724 300TH ST., GILMAN, IA  50106

PHONE 641/478-3217  FAX 641/478-3226

www.swiftgreenhouses.com

                                         

                                      APPLICATION FOR EMPLOYMENT            DATE______________

 

PERSONAL INFORMATION

 

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LAST   NAME                                           FIRST NAME                                    MIDDLE NAME                                  /        MAIDEN OR FAMILY NAME                                                       

 

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STREET ADDRESS, CITY, STATE, ZIP CODE

 

( _____ )_________________     ( _____ )______________________      __________________________________                                                                                                                                     ________________________________

TELEPHONE NUMBER          ALTERNATE / CELL NUMBER                          E -MAIL ADDRESS                                    SOCIAL SECURITY     

                  

CONTACT IN CASE OF EMERGENCY_________________________________________________________________________________________________

                                                                                                    NAME                              ADDRESS                         TELEPHONE NUMBER

 

HAVE YOU WORKED AT SWIFT GREENHOUSES PREVIOUSLY?  5 YES   5 NO - IF  YES,  LIST YEAR(S)? ______________

 

AVAILABLE START DATE _______/_______/_______   CAN YOU WORK WEEKENDS  5YES  5NO   CAN YOU WORK OVERTIME?  5YES  5NO

 

ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNTIED STATES?          5 YES          5 NO

 

 

EDUCATION

 

SCHOOL NAME

 CITY AND STATE

NO. OF YEARS ATTENDED

DID YOU GRADUATE?

WHAT YEAR?

 

COURSE OR MAJOR

 

HIGH SCHOOL

 

 

 

 

 

 

               N/A

 

COLLEGE

 

 

 

 

 

 

 

TRADE, BUSINESS, CORRESPONDENCE

SCHOOL, MILITARY

 

 

 

 

 

 

   

LIST ANY SPECIAL TRAINING (VOCATIONAL SCHOOLS, SHORT COURSES, WORKSHOPS, ETC) THAT YOU HAVE TAKEN THAT WOULD AID IN THE PERFORMANCE OF THE POSITION(S) FOR WHICH YOU ARE APPLYING:  _________________________________

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LIST HOBBIES AND SPECIAL SKILLS (COMPUTERS, MECHANICAL, WOODWORKING, PHOTOGRAGHY, ETC.): ____________

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WHAT QUALITIES DO YOU POSSESS THAT MAKE YOU A CANDIDATE FOR THIS POSITION? _________________________

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ADDITIONAL COMMENTS: ____________________________________________________________________________

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REFERENCES

LIST THE NAME, TITLE, ADDRESS, AND PHONE NUMBER OF TWO PERSONS WITH KNOWLEDGE OF YOUR CHARACTER, EXPERIENCE AND ABILITY.  PLEASE DO NOT LIST RELATIVES.

1) NAME

 

RELATIONSHIP

ADDRESS

 

TELEPHONE NUMBER

 

2) NAME

 

RELATIONSHIP

ADDRESS

 

TELEPHONE NUMBER

 

PREVIOUS    EMPLOYMENT

PLEASE GIVE ACCURATE, COMPLETE FULL-TIME AND PART-TIME EMPLOYMENT RECORD.  START WITH YOUR PRESENT OR MOST RECENT EMPLOYER.

COMPANY NAME

 

TELEPHONE NUMBER

ADDRESS

 

EMPLOYED (STATE MONTH & YEAR)

FROM                              TO

NAME OF SUPERVISOR

 

HOURLY PAY

START                         END

STATE JOB TITLE AND DESCRIBE YOUR WORK

____________________________________________________________________________________

 

____________________________________________________________________________________

 

 

REASON FOR LEAVING

_______________________________________________

AVERAGE NUMBER HOURS PER WEEK.

_______________________________________________

MAY WE CONTACT?      0 YES     0 NO

 

COMPANY NAME

 

TELEPHONE NUMBER

ADDRESS

 

EMPLOYED (STATE MONTH & YEAR)

FROM                              TO

NAME OF SUPERVISOR

 

HOURLY PAY

START                          END

STATE JOB TITLE AND DESCRIBE YOUR WORK

____________________________________________________________________________________

 

____________________________________________________________________________________

 

 

REASON FOR LEAVING

_______________________________________________

AVERAGE NUMBER HOURS PER WEEK.

_______________________________________________

MAY WE CONTACT?      0 YES     0 NO

 

COMPANY NAME

 

TELEPHONE NUMBER

ADDRESS

 

EMPLOYED (STATE MONTH & YEAR)

FROM                              TO

NAME OF SUPERVISOR

 

HOURLY PAY

START                          END

STATE JOB TITLE AND DESCRIBE YOUR WORK

____________________________________________________________________________________

 

____________________________________________________________________________________

 

 

REASON FOR LEAVING

_______________________________________________

AVERAGE NUMBER HOURS PER WEEK.

_______________________________________________

MAY WE CONTACT?      0 YES     0 NO

 

Have you been convicted of any crimes in the past ten years, excluding misdemeanors and summary offenses, which have not been annulled, expunged or sealed by a court?          0 YES     0 NO    If  “Yes”, describe in full.  __________________________________

 

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Please read and understand this statement before signing your application:

 

The information I have provided in the 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 organizations who provide information for  this purpose.

 

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

                      

X      SIGNATURE OF APPLICANT___________________________________________________ DATE ___________________________ 

 

WE CONSIDER APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, MARITAL OR VETERAN STATUS, OR ANY OTHER LEGALLY PROTECTED STATUS.

 

YOU MAY BE REQUIRED TO PARTICIPATE IN A DRUG TEST.