First Name
*
Middle Name
*
Last Name
*
Date of Application
MM
DD
YYYY
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
Are you at least 18 years old?
*
Are you legally eligible to work in this country?
*
Would you be known to any other employer or reference by another name?
*
If yes, indicate what name:
Position Applying For:
Please select the job(s) you would like to apply for.
Type of Employment
*
Date Available
*
MM
DD
YYYY
Shift Desired
What days of the week are you available to work?
Are you available to work overtime if necessary?
*
How did you learn of the opening?
*
Have you completed an application with us before?
*
If yes, give a date:
Names of friends or relatives working at Good Sense Foods (List name and relationship)
Have you been employed by Good Sense Foods/Waymouth Farms before?
*
If yes, give date and position:
What wage/salary do you expect?
*
Have you ever been discharged (or terminated) by a former employer?
*
If yes, please explain:
Are you currently on layoff status, leave of absence or other suspension of employment and subject to recall with another employer?
*
If yes, please give details:
If yes, what date does it end?
Are you currently employed?
*
Present or most recent employer
May we contact your present employer?
Title of position
Start date of employment
MM
DD
YYYY
End date of employment
MM
DD
YYYY
Most Recent Employer Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Most Recent Employer Phone
(###)
###
####
Name & Title of Supervisor
Reason for leaving
Job Description
Previous Employer #2
May we contact your employer?
Start date of employment
MM
DD
YYYY
End date of employment
MM
DD
YYYY
Title of position
Employer #2 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer #2 Phone
(###)
###
####
Employer #2 Name & Title of Supervisor
Reason for leaving
Job Description
Previous Employer #3
May we contact your employer?
Employer #3 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Start date of employment
MM
DD
YYYY
End date of employment
MM
DD
YYYY
Title of position
Employer #3 Phone
(###)
###
####
Employer #3 Name & Title of Supervisor
Reason for leaving
Job Description
Previous Employer #4
May we contact your employer?
Start date of employment
MM
DD
YYYY
End date of employment
MM
DD
YYYY
Title of position
Employer #4 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer #4 Phone
(###)
###
####
Reason for leaving
Job description
Grade School
High School
College
Graduate School
High School: (Name, City/State, Degree/Major)
College: (Name, City/State, Degree/Major)
Graduate School: (Name, City/State, Degree/Major)
Apprentice/Business/Vocational School/Specialized Training or degree:
Are you currently enrolled in School?
Hours
Name of School
Personal Computers
Type of computer system:
Software
MRP
Other Software:
Production Equipment - Type:
Packaging Equipment - Type:
Maintenance Equipment - Type:
Others:
Additional equipment, tools, skills, or qualifications not list above:
Reference #1 Name
First Name
Last Name
Reference #1 Phone
(###)
###
####
Reference #1 Employer & Position
Reference #1 Years Known
Reference #2 Name
First Name
Last Name
Reference #2 Phone
(###)
###
####
Reference #2 Employer & Position
Reference #2 Years Known
Reference #3 Name
First Name
Last Name
Reference #3 Phone
(###)
###
####
Reference #3 Employer & Position
Reference #3 Years Known
State any additional information you feel may be helpful in considering your application:
Are you capable of performing; with or without a reasonable accommodation, the activities involved in the job for which you have applied? A description of the activities involved in such a job or occupation is available.
Name
*
First Name
Last Name
Signature
*
Today's Date
*
MM
DD
YYYY
Terms & Conditions
*
