Job Application

Applicant Information

Applicant Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Employment Position

How did you hear about this position?*

What days are you available for work?*

What hours or shift are you available for work?*

If needed, are you available to work overtime?*

On what date can you start working if you are hired?*

Do you have reliable transportation to and from work?*

Personal Information

Have you ever applied to or worked for Hill Meat Company before?*

Yes
No

When?*

Do you have any friends, relatives, or acquaintances working for Hill Meat Company?*

Yes
No

State the name & relationship*

Are you 18 years of age or older?*

Yes
No

Are you a U.S. citizen or approved to work in the United States?*

Yes
No

What document can you provide as proof of citizenship or legal status?*

Will you consent to a mandatory controlled substance test including marijuana?*

Yes
No

Do you have any condition which would require job accommodations?*

Yes
No

Please describe accommodations required*

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

List the skills and qualifications you possess for the position for which you are applying*

(Note: Hill Meat Company complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Education and Training

High School Name

Location

(City, State)

Year Graduated

Degree Earned

College/University Name

Location

(City, State)

Year Graduated

Degree Earned

Vocational School/Specialized Training Name

Location

(City, State)

Year Graduated

Degree Earned

Military

Are you a member of the Armed Services?*

Yes
No

What branch of the military did you enlist?*

What was your military rank when discharged?*

How many years did you serve in the miliary?*

What military skills do you possess that would be an asset for this position?*

Previous Employment

Employer Name*

Job Title*

Supervisor Name*

Employer Address*

Street Address Address Line 2 City State ZIP Code

Employer Phone*

Dates Employed*

Reason for Leaving*

Employer Name

Job Title

Supervisor Name

Employer Address

Street Address Address Line 2 City State ZIP Code

Employer Phone

Dates Employed

Reason for Leaving

Employer Name

Job Title

Supervisor Name

Employer Address

Street Address Address Line 2 City State ZIP Code

Employer Phone

Dates Employed

Reason for Leaving

References

Please provide 3 personal and professional reference(s) below

Reference Name*

Contact Information*

Reference Name*

Contact Information*

Reference Name*

Contact Information*

Additional Information

Would you consent to a full background screening?*

Yes
No

At-Will Employment

The relationship between you and the Hill Meat Company is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Hill Meat Company. No representative of Hill Meat Company has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President, Chief Operations Officer or the Company's President.

Affidavit

I certify that to the best of my knowledge the information contained in this application is correct. I understand that falsification of application information or material omission may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I understand and agree to the following: 1. My prior employers, educational institutions and other references listed or not listed on this application are authorized to give Hill Meat Company any and all information concerning my previous employment and any pertinent information they may have. I release all persons listed or not listed or entities from all liability for any damage that may result from furnishing information to Hill Meat Company. I also release the Company and all of its employees from all liability for any damage that may result from the Company's reliance on the information furnished. 2. I must produce applicable documents showing that I am lawfully authorized to work in the United States, within the time frame specified by the Company, to meet the Immigration Reform and Control Act of 1986 and amended requirements. 3. The cost of any and all company issued equipment not returned upon termination of employment will be billed to you, as the employee. (Bump caps, time cards, gloves, etc.) 4. Hill Meat Company will not tolerate the abuse of drugs or alcohol in the workplace. Job applicants may be required to pass a pre-employment drug test as a condition of employment. Any employee found to be in possession of illegal drugs or to be under the influence of illegal drugs or alcohol will be subject to termination. Refusal to submit to drug testing may result in disciplinary action, up to and including termination. I agree to submit to drug and alcohol testing upon the reasonable suspicion of the abuse of such substances. If I fail to comply with any of the requirements set forth above, I understand that an offer of employment will be rescinded or my employment will be terminated. In consideration of my employment. I agree to conform to all the Company's policies, rules, and regulations. I understand and agree that my employment with Hill Meat Company is voluntarily entered into and I am free to resign at any time. Similarly, Hill Meat Company being an at-will employer, is free to conclude the employment relationship at any time in which the Company believes is in the Company's best interest. I further understand and agree that this at-will relationship as defined above will remain in effect throughout my employment with Hill Meat Company.

Enter Your Full Name to Agree*

First Middle Last

Agreement Date*

Applicant Authorization for Reference Checks

I hereby authorize my past employers to release information to Hill Meat Company regarding my employment. This release of information covers my employment record in general, including information on the following questions: 1. Dates of employment; 2. Position(s) held; 3. The quality and quantity of my work; 4. My attendance habits (excluding workers' compensation, pregnancy, disability FMLA and other protected absences); 5. My relationship with co-workers, supervisors and managers; 6. My attitude toward work (cooperative? positive? ect.); 7. Reason for leaving and eligibility for rehire (would the employer rehire if they had to do it all over again?); 8. Strong and weak points; 9. Willingness to comply with policies and standards; 10. Whether I have had outbursts of temper, threatened, provoked fights with or assaulted others, engaging in hostile or violent behavior; 11. Other relevant information regarding my performance, skills, ability, suitability for employment sought, etc. I agree that all former employers who provide such information are indemnified and released from liability arising from such disclosures. I also understand that if I do not agree to this Authorization, my application will be rejected.

Enter Your Full Name to Agree*

First Middle Last

Agreement Date*