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635 Westfield Road • Noblesville • Indiana • 46060
317.776.4775
Application for Employment
Butterfield Foods is an equal opportunity employer. Applicants are considered for employment without regard to race, color, national origin, religion, sex, age, handicap, citizenship status, or any other basis prohibited by law, unless such basis constitutes a bona fide occupational qualification.
Name:
*
First Name
Last Name
E-mail Address:
example@example.com
Phone Number:
*
Format: (000) 000-0000.
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
*
Please select a month
January
February
March
April
May
June
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Month
Please select a day
1
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Day
Please select a year
2026
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Year
Which position are you interested in? Check all that apply
*
Production
Maintenance
Sanitation
Other
What date are you available to start work?
*
-
Month
-
Day
Year
Date
Have you applied with the company before?
*
Yes
No
If "yes" give a date.
Have you worked for the company before?
*
Yes
No
If "yes" give a reason for leaving.
Do you have relatives that work for the company?
*
Yes
No
If "yes" please list them by name.
Are you a U.S. Citizen or an alien legally entitled to work in the position(s) for which you have applied?
*
Yes
No
Have you been convicted of a felony or misdemeanor (other than a minor traffic violation)? (Conviction will not necessarily disqualify applicant from employment)
*
Yes
No
If "yes" please explain.
Have you ever been discharged from any position?
*
Yes
No
If "yes" please explain.
What is your highest level of education completed?
*
Grade school
Junior High School
Senior High School
College
What is the name of the school?
*
Number of years completed?
*
Course pursued degrees granted
*
Employment Record
Starting with your present or most recent job, list your employment experience. You may include job-related military service assignments or volunteer activities that reflect your qualifications for employment.
Add your most recent job
*
Yes
No employment record
Employer / Company Name
Employer's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Job title and duties
Starting Date
-
Month
-
Day
Year
Date
Employment Ended
-
Month
-
Day
Year
Date
Starting Salary
Final Salary
Reason for leaving
Applicant's Statement
Please indicate that you have read and that you understand each paragraph of the Applicant's Statement by checking the box beside each paragraph.
*
I certify that this application was completed by me and that all entries on it and all information on it are TRUE and COMPLETE to the best of my knowledge. In the event of employment, I understand that any false, misleading, inaccurate or omitted information in my application may result in discharge.
I hereby release al parties, including but not limited to, the Company, its agents and employees, medical providers and previous employers, from any and all liability for any injury or damage, or claims thereof, resulting from furnishing any information to the Company concerning me or any action based on any such information.
I agree to submit drug testing, if required, and understand that any offer of employment is contingent upon the results of that examination.
I understand that, according to federal law, all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and United States citizen status or, if aliens, their legal authorization to work in the United States. As a consequence, I understand that any offer of employment by the Company would be contingent upon my ability to produce the required documentation within the time period required by law.
I understand that this application is not, and is not intended to be, a contract of employment and that any resulting employment relationship is for no fixed period of time and is terminable at any time and for any reason by the Company or by me. I further understand that statements which may be contained in policies, practices, handbooks, or other Company material do not create any guarantee of employment and the the Company has the right to modify, amend or terminate policies, practices, benefits plans, or other programs within the limits and requirements imposed by law. I understand that no representative of the Company has the authority to enter into any agreement for any specific period of time or to make any agreement contrary to the foregoing.
Signature
*
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