Careers, Job Openings | Binghamton Agway

We are an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state, or local laws.

For Rhode Island Employers Only: This Company is subject to the Workers' Compensation laws of the State of Rhode Island.*

THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE.

PLEASE NOTE: Applicants with weekend availability will receive higher priority when we review applications.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have you lived here?*

Years/Months

Phone number*

Area CodePhone Number

Cell phone number (if different from above)

Area CodePhone Number

Email*

example@example.com

Are you 18 years of age or older?*

YesNoIf under 18, can you produce a work certificate?

Type of employment desired:*

Part-timeFull-time

Specify hours:*

Are you willing to work overtime?*

YesNo

Date available to start (if hired) *

Date

Have you previously applied for employment with this Company?*

YesNo

If Yes - when and where did you apply?*

Have you ever been employed with this Company?*

YesNo

If Yes - provide dates of employment, location, and reason for separation from employment*

If applicable - please list any other names by which you have been known. It may be necessary to allow us to confirm your work and educational record.

For example: Change of name, Use of an assumed name, Nickname, etc.

Education
Please fill out the Education portion of this Form to the best of your ability.

High school name

High school address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Course of study or major

High school diploma?

YesNo

Number of years completed

Honors received

College name

College address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Course of study or major

College degree?

YesNo

Type of degree

Number of years completed

Honors received

Graduate/professional

Graduate/professional location

City, State, Zip

Course of study

Certificate or degree

YesNo

Type of certificate/degree

Trade/correspondence

Trade/correspondence location

City, State, Zip

Course of study or major

Certificate/degree/diploma

YesNo

Type of certificate/degree/diploma

Previous Employment
Please fill out this section starting with your last Employer to the best of your knowledge

Name of previous - employer 1

Position held / title - employer 1

Employment dates - employer 1

May we contact?

YesNo

If NO, why not?

Phone number

Please enter a valid phone number.

Reason for leaving?

What will this employer SAY was the reason your employment was terminated?

Were you ever disciplined?

YesNo

If Yes - for what?

How much notice did you give when resigning?

If NONE - please explain.

Name of previous - employer 2

Position held / title - employer 2

Employment dates - employer 2

May we contact?

YesNo

Telephone - employer 2

Please enter a valid phone number.

Reason for leaving?

What will this employer SAY was the reason your employment was terminated?

Were you ever disciplined?

YesNo

If Yes - for what?

How much notice did you give when resigning?

If NONE - please explain.

Have you ever been terminated or asked to resign from any job?*

YesNo

If Yes - how many times?*

Have you ever been terminated by mutual agreement?*

YesNo

If Yes - how many times?*

Have you ever been given the the choice to resign rather than be terminated?*

YesNo

If Yes - how many times?*

If you answered Yes to any of the above 3 questions, please explain the circumstances of EACH occasion.*

Professional References (Optional)
Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.

Reference 1

First NameLast Name

Reference 1 company

Reference1 position

Reference 1 work relationship

Was this a supervisor, co-worker, or other?

Reference 1 phone number

Area CodePhone Number

Reference 2

First NameLast Name

Reference 2 company

Reference 2 position

Reference 2 work relationship

Was this a supervisor, co-worker, or other?

Reference 2 phone number

Area CodePhone Number

Personal References
Please list the names of personal references (Not previous employers or relatives) we may contact.

Person 1 name

First NameLast Name

Person 1 occupation

Person 1 address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Person 1 phone number

Area CodePhone Number

Person 1 number of years known

Person 2 name

First NameLast Name

Person 2 occupation

Person 2 address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Person 2 phone number

Area CodePhone Number

Person 2 number of years known

Driving Information (Optional)
Complete only if driving is an essential function of the job you are applying for.

Do you have a current driver's license?

YesNoOther

If YES - license number and state

Expiration date

If you do not have a driver's license for the state in which you currently reside - why not?

Has your license ever been suspended or revoked?

YesNoOther

If YES - Please explain

Do you have personal automobile insurance?

YesNoOther

If NO - Please explain

Have you ever been denied personal automobile insurance or has it ever been terminated or suspended?

YesNoOther

If YES - Please explain

Please list all moving traffic violations in the last five (5) years

Include: Offense / Date - MM/YY / Location / Comments

Applicant Certification
I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver's license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside. I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to the Company's policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company's policies and applicable federal, state, and local law. If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement. I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.

THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS AUTHORIZED TO ENTER INTO AN AGREEMENT—EXPRESS OR IMPLIED—WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY.IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT WILL.

I authorize the Company or its agents to confirm all statements contained in this application and/or résumé as it relates to the position I am seeking to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation which may be permitted by federal, state, and/or local law. If applicable and allowed by law, I will receive separate written notification regarding the Company's intent to obtain "consumer reports."

I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above-requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. Further, if hired, I authorize the company to provide truthful information concerning my employment to future employers and hold the company harmless for providing such information.

If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company. I also understand this Company employs only individuals who are legally eligible to work in the United States.

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE.

DO NOT SIGN UNTIL YOU HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION.

Signature*

Date*

Date

If the applicant is a minor, the foregoing release and consent must be signed by the applicant's parent or legal guardian. A signature by the applicant's parent or legal guardian constitutes acknowledgment by the applicant and the parent or legal guardian that the Company, to the extent permitted by federal, state, and local law, can test the applicant for illegal or controlled substances, conduct inspections of property without notice, and communicate test results to Company personnel who need to know, the applicant, and the applicant's legal guardian.

Parent / Legal Guardian*

Date*

MM/DD/YYYY

Witness*

Date*

MM/DD/YYYY

UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR, POLYGRAPH, OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

I have read and understand the above statement.

Applicant Signature*

Date*

IT IS UNLAWFUL IN MASSACHUSETTS 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 PENALTIES AND CIVIL LIABILITY. FOR CALIFORNIA APPLICANTS ONLY: BY CHECKING THIS BOX, I WAIVE MY RIGHT TO RECEIVE A COPY OF ANY PUBLIC RECORD OBTAINED BY THE COMPANY FOR EMPLOYMENT PURPOSES THROUGH AN INTERNAL INVESTIGATION. FEDERAL AND/OR STATE LAW MAY PROHIBIT THE USE OF LIE DETECTOR, POLYGRAPH OR SIMILAR TEST AS WELL. THIS APPLICATION MAY NOT BE SUFFICIENT FOR ALL INDUSTRIES OR APPROPRIATE FOR USE IN ALL LOCALITIES.

*This employment application not appropriate for use by Rhode Island employers exempt from the state’s Workers’ Compensation laws.

Pet Friendly Application for Employment