Heritage Family Farms, Arthur Illinois
Phone:  217-543-2202  Email: officeathff@gmail.com

APPLICANT NOTE: This Employment Application is intended for use in evaluating your qualifications for employment. It is not an employment contract. Please answer all questions completely and to the best of your ability. False or misleading statements are grounds for refusal or termination of employment and benefits. It is the policy of this company as an Equal Opportunity Employer to ensure that there shall be no discrimination against any employee or applicant for employment on the basis of age, race, color, creed, marital status, religion, sex, national origin, disability or veteran status, or any other status protected by law.
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Email *
DEMOGRAPHIC INFORMATION
Full Name: *
Address: *
Phone: *
Are you 18 years of age or older? *
Other than minor traffic offenses, have you ever been convicted of a crime? A conviction record will not necessarily bar you from employment. *
Description of conviction if applicable-As a part of the background information that you provide on this application, you are not required to provide, and you shall not voluntarily provide, the company with any information regarding any conviction/arrest records pertaining to you that have been sealed or expunged.
EMPLOYMENT HISTORY
Present or Last Employer-Include address, dates, phone number, reason for leaving, supervisor name *
2nd Previous Employer-Include address, dates, phone number, reason for leaving, supervisor name
3rd Previous Employer-Include address, dates, phone number, reason for leaving, supervisor name
4th Previous Employer-Include address, dates, phone number, reason for leaving, supervisor name
May we contact your previous employer(s) for reference?
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EDUCATION
High School-include year and location *
College-Name of school, year and degree received *
Other Including GED or Technical-include year and location, degree or certificate received. *
ADDITIONAL INFORMATION
Additional Qualifications-professional licenses, certifications currently held, relevant skills or abilities *
Do you currently hold a CDL? *
Are you interested in obtaining your CDL? *
REFERENCES
List individuals familiar with your work, do not include relatives.
Reference 1-Name, City, State, Phone, Occupation *
Reference 2-Name, City, State, Phone, Occupation *
Reference 3-Name, City, State, Phone, Occupation *
Comments, Concerns or Questions that you have for us or would like us to know about you? *
I certify that I have read and understand the “Applicant Note” on Page One of this application and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omission or misrepresentations of the facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents including consumer-reporting companies to verify any of this information. I authorize all persons, schools, companies, law enforcement agencies, and consumer reporting bureaus to release any and all information regarding my background. I release all parties from any liability for damage that may result from furnishing this information to you. By my signature on this application, I acknowledge that the company did not inquire about and I did not provide any information regarding conviction/arrest records that have been sealed or expunged. *
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