Application for Employment

BALL FAMILY FARMS CORPORATION APPLICATION FOR EMPLOYMENT

Ball Family Farms Corporation is an equal opportunity employer. Ball Family Farms Corporation does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.

Incomplete information could disqualify you from further consideration. Please complete all fields.

Name

Today's Date

Date

Address

E-mail Address

example@example.com

Home Phone

Mobile Phone

Are you eligible to work in the U.S? **(Proof of identity and eligibility will be required upon employment)

YesNo

Are you at least 21 years or older? If no, you may be required to provide authorization to work*

YesNo

Date you can start

Date

Hourly rate/Salary desired

Position desired

Are you currently employed?

YesNo

If so may we inquire of your present employer?

Days and Hours Available:(If employed, notification must be provided in writing should availability change

Can you work overtime, including weekends?

YesNo

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

YesNo

If no, please explain(If you have any question as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer this question)

How did you hear about us?

Have you ever worked for this company before?

YesNo

Do you have any relatives employed with Ball Family Farms?

EDUCATION

	Name and location of school	Degree Received	Subjects studied/Major
High School
College or University
Trade, Business, or Correspondence School

EMPLOYMENT HISTORY Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

From

To

Employer Name

Job Title

Address

Immediate supervisor and title

Summarize the nature of work performed and job responsibilities

Reason for leaving

From

To

Employer

Job Title

Address

Immediate supervisor and title

Summarize the nature of work performed and job responsibilities

Reason for leaving

From

To

Employer

Job Title

Address

Immediate supervisor and title

Summarize the nature of work performed and job responsibilities

Reason for leaving

From

To

Employer Name

Job Title

Address

Immediate supervisor and title

Summarize the nature of work performed and job responsibilities

Reason for leaving

Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.

Give the names of three persons not related to you, whom you have known at least three (3) years.

Name

	Address, Phone, Email	Company	Acquainted
Reference 1
Reference 2
Reference 3

Please read carefully before signing.

______ I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Ball Family Farms Corporation to hire me.

______ If I am hired, I understand that either Ball Family Farms Corporation or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Ball Family Farms Corporation has the authority to make any assurance to the contrary.

_______ I attest with my signature below that I have given to Ball Family Farms Corporation true and complete information on this application. No requested information has been concealed. I authorize Ball Family Farms Corporation to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Date

Signature

Time

Hour Minutes

AM/PM Option

PERSONAL INFORMATION

EMPLOYMENT DESIRED

REFERENCES