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Centro Inc. Application
Note To Applicant
This application is intended for use in evaluating your qualifications for employment. This is not an employment contract. Centro recognizes that all terms and conditions of employment are the will of either party. False or misleading statements in this application or during any interview are grounds for disqualifying you for employment or, if discovered after employment, terminating your employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin, religious preference, or the presence of disabilities.
What location are you applying for?
*
Please Select
Ankeny, IA
Beaver Dam, WI
Cascade, IA
Claremont, NC
East Moline, IL
Hampton, IA
North Liberty, IA
Valley City, ND
Waterloo, IA
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
Ankeny
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
Beaver Dam
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
Cascade
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
Claremont
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
East Moline
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
Hampton
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
North Liberty
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
Valley City
What position are you applying for?
*
Please Select
Production Associate (3rd Shift)
Maintenance Technician
Engineering Technician
Learning and Development Coordinator
Waterloo
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Personal Information
Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Upload resume here (not required)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Education
Name of high school you attended
Did you graduate or obtain GED?
*
Yes
No
Name of college (if you attended)
Year Graduated
Major/Degree
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Position
What Shift(s) are you interest in?
*
1st (7:00AM - 3:00PM)
2nd (3:00PM - 11:00PM)
3rd (11:PM - 7:00AM)
Weekend
Why are you interested in employment with Centro?
*
How did you learn of Centro?
*
Please Select
Hiring site (indeed, glassdoor, etc)
Centro employee referral
Centro website
Other
Name of employee who referred you
If other, please specify
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Background Info
List states of residence for the past 7 years
*
Date of Birth (For background check)
*
-
Month
-
Day
Year
D.O.B
Have you ever been convicted of a felony
*
Yes
No
Describe any felony convictions including year of conviction
Have you ever worked at Centro?
*
Yes
No
Dates of employment at Centro
Have you worked at John Deere in the past 6 months?
*
Yes
No
Which John Deere Location did you work at?
Have you participated in John Deere's school to work program?
*
Yes
No
Dates of participation in John Deere school to work program
*
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Employment History
Enter information about your previous employment history
Current or most recent employer name
*
Job Title
*
Employer Address
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor's Name
Employment Start Date (Estimate if you are unsure)
*
-
Month
-
Day
Year
Date
Employment End Date (Estimate if you are unsure)
-
Month
-
Day
Year
Date
Job Duties
*
Reason for leaving (if applicable)
*
Pay Rate
*
Do you have more employment to enter?
*
Please Select
Yes
No
Employer's Name
Job Title
Employer Address
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor's Name
Employment Start Date (Estimate if you are unsure)
-
Month
-
Day
Year
Date
Employment End Date (Estimate if you are unsure)
-
Month
-
Day
Year
Date
Job Duties
Reason for leaving (if applicable)
Pay Rate
Do you have more employment to enter?
Please Select
Yes
No
Employer's Name
Job Title
Employer Address
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor's Name
Employment Start Date (Estimate if you are unsure)
-
Month
-
Day
Year
Date
Employment End Date (Estimate if you are unsure)
-
Month
-
Day
Year
Date
Job Duties
Reason for leaving (if applicable)
Pay Rate
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References
Please do NOT use family and friends. Ideally, use previous leaders, managers, or others who can speak to your qualifications
Reference #1
*
Reference #1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #1 Email Address
example@example.com
Reference #1 Relationship
*
Reference #2
Reference #2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Reference #2 Email Address
example@example.com
Reference #2 Relationship
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Certification and Release
I certify that I have read and understand the applicant note at the beginning of the application and that the answers & statements I have provided in this application are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts in this application may result in rejection of my application or termination at any time during my employment. I authorize the company and/or its agents, including consumer-reporting bureaus, to verify any of this information. I authorize all former employers, named persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any such persons, school, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. If offered employment, I agree to submit to a require pre-employment physical exam and drug test, and understand that such offer is subject to my successful completion of such exam and test. I understand this if I am hired I will be subject to all Centro employment policies and guidelines in the Centro Associate Handbook.
Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
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