Online Application Cattle Yard & Feed Mill
Please complete the form below to apply for a position with us.
Position(s) applied for:
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email Address
*
example@example.com
Social Security Number
*
If you are under 18, and it is required, can you furnish a work permit?
Yes
No
If no, please explain
Have you filed an application with Luckey Custom Feedlot before?
Yes
No
If yes, give date:
-
Month
-
Day
Year
Date of application
Are you currently employed?
*
Yes
No
If yes, may we contact your present employer?
Yes
No
Are you prevented from lawfully becoming employed in this country because of visa or immigration status? (Proof of citizenship or immigration status will be required upon employment)
*
Yes
No
Date available for work
-
Month
-
Day
Year
Date
Type of employment desired?
*
Full-Time
Part-Time
Shift-Work
Temporary
Are you able to meet the attendance requirements of the position?
*
Yes
No
Have you been convicted of a crime in the last seven (7) years?
*
Yes
No
If yes, please explain:
CONVICTION WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT, EACH INSTANCE AND EXPLANATION WILL BE CONSIDERED IN RELATION TO THE POSITION FOR WHICH YOU ARE APPLYING
Driver's license number if driving is an essential job function:
State of Driver's License:
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Employment History
Job 1
Employer:
Job Title:
Immediate Supervisor and Title:
Start Date
-
Month
-
Day
Year
End Date
-
Month
-
Day
Year
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving:
Summarize the nature of work performed and job responsibilities:
Hourly rate / Salary START
Let us know the rate that you STARTED with in dollars.
Hourly rate / Salary END
Let us know the rate that you ENDED with in dollars.
Job 2
Employer:
Job Title:
Immediate Supervisor and Title:
Start Date
-
Month
-
Day
Year
End Date
-
Month
-
Day
Year
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving:
Summarize the nature of work performed and job responsibilities:
Hourly rate / Salary START
Let us know the rate that you STARTED with in dollars.
Hourly rate / Salary END
Let us know the rate that you ENDED with in dollars.
Job 3
Employer:
Job Title:
Immediate Supervisor and Title:
Start Date
-
Month
-
Day
Year
End Date
-
Month
-
Day
Year
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving:
Summarize the nature of work performed and job responsibilities:
Hourly rate / Salary START
Let us know the rate that you STARTED with in dollars.
Hourly rate / Salary END
Let us know the rate that you ENDED with in dollars.
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References
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Years known:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Years known:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Years known:
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Most Recent School
School name:
Phone Number:
Please enter a valid phone number.
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Started:
-
Month
-
Day
Year
Date Ended:
-
Month
-
Day
Year
Degree title:
Major:
Second Most Recent School
School name:
Phone Number:
Please enter a valid phone number.
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Started:
-
Month
-
Day
Year
Date Ended:
-
Month
-
Day
Year
Degree title:
Major:
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Comments
Please verify that you are human
*
I UNDERSTAND THAT IF I AM EMPLOYED, ANY MISREPRESENTATION OR MATERIAL OMISSION MADE BY ME ON THIS APPLICATION WILL BE SUFFICIENT CAUSE FOR CANCELLATION OF THIS APPLICATION OR IMMEDIATE DISCHARGE FROM THE EMPLOYER'S SERVICE, WHENEVER IT IS DISCOVERED.I GIVE THE EMPLOYER THE RIGHT TO CONTACT AND OBTAIN INFORMATION FROM ALL REFERENCES, EMPLOYEES, EDUCATIONAL INSTITUTIONS AND TO OTHERWISE VERIFY THE ACCURACY OF THE INFORMATION CONTAINED IN THIS APPLICATION. I HEREBY RELEASE FROM LIABILITY THE EMPLOYER AND ITS REPRESENTATIVES FOR SEEKING, GATHERING AND USING SUCH INFORMATION AND ALL OTHER PERSONS, CORPORATIONS OR ORGANIZATIONS FOR FURNISHING SUCH INFORMATION.THE EMPLOYER DOES NOT UNLAWFULLY DISCRIMINATE IN EMPLOYMENT AND NO QUESTION ON THIS APPLICATION IS USED FOR THE PURPOSE OF LIMITING OR EXCUSING ANY APPLICANT FROM CONSIDERATION FOR EMPLOYMENT ON A BASIS PROHIBITED BY LOCAL, STATE, OR FEDERAL LAW.THIS APPLICATION IS CURRENT FOR SIX (6) MONTHS. AT THE CONCLUSION OF THIS TIME, IF I HAVE NOT HEARD FROM THE EMPLOYER AND STILL WISH TO BE CONSIDERED FOR EMPLOYMENT, IT WILL BE NECESSARY TO FILL OUT A NEW APPLICATION.IF I AM HIRED, I UNDERSTAND THAT I AM FREE TO RESIGN AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, AND THE EMPLOYER RESERVES THE SAME RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, EXCEPT AS MAY BE REQUIRED BY LAW. THIS APPLICATION DOES NOT CONSTITUTE AN AGREEMENT OR CONTRACT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OR DEFINITE DURATION. I UNDERSTAND THAT NO REPRESENTATIVE OF THE EMPLOYER, OTHER THAN AN AUTHORIZED OFFICER HAS THE AUTHORITY TO MAKE ANY ASSURANCES TO THE CONTRARY. I FURTHER UNDERSTAND THAT ANY SUCH ASSURANCES MUST BE IN WRITING AND SIGNED BY AN AUTHORIZED OFFICER.I UNDERSTAND IT IS THIS COMPANY'S POLICY NOT TO REFUSE TO HIRE A QUALIFIED INDIVIDUAL WITH A DISABILITY BECAUSE OF THAT PERSON'S NEED FOR REASONABLE ACCOMMODATION AS REQUIRED BY THE ADA.I ALSO UNDERSTAND THAT IF I AM HIRED, I WILL BE REQUIRED TO PROVIDE PROOF OF IDENTITY AND LEGAL WORK AUTHORIZATION.By clicking on the Submit Application button below, I agree that I have read and understand the above, and hereby certify that the facts I have provided in my employment application are true and complete and seek employment under these conditions.
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