Online Application Thank you for your interest in employment with Forsman Farms! Please fully complete this application before clicking the submit button. NOTE: If you leave the page you may lose your application progress. Date Full Name Address Phone (no dashes) Email Address What position are you applying for? How did you become aware of this position? What hours are you available to work? A.M.P.M. Are you able to perform the essential functions of the job for which you are applying? YesNo If no, describe reasonable accommodation necessary to perform essential job functions. EMERGENCY CONTACT INFORMATION Full Name Relationship Phone (no dashes) EDUCATION Highest Grade Completed High School Year of Graduation College Year of Graduation Trade, business, or correspondence school EMPLOYMENT HISTORY LIST YOUR PRESENT OR MOST RECENT EMPLOYER FIRST Employer Name Telephone Number (no dashes) Address Job Title Duties Reason(s) for Leaving Employment Dates From To Pay or Salary Starting Wage $ HourlySalary Final Wage $ HourlySalary Employer Name Telephone Number (no dashes) Address Job Title Duties Reason(s) for Leaving Employment Dates From To Pay or Salary Starting Wage $ HourlySalary Final Wage $ HourlySalary Employer Name Telephone Number (no dashes) Address Job Title Duties Reason(s) for Leaving Employment Dates From To Pay or Salary Starting Wage $ HourlySalary Final Wage $ HourlySalary PLEASE ANSWER THE FOLLOWING QUESTIONS AS COMPLETELY AS POSSIBLE FOR THE POSITION(S) FOR WHICH YOU HAVE APPLIED Be specific in your answers. 1. What experience do I bring to perform this position? (please explain why): 2. What are the most important skills I bring to this job? 3. What are the areas I need/want to further develop to perform this position? REFERENCES List name and telephone number of three business/work references who are not related to you. Name Relationship Telephone (no dashes) Years Known Name Relationship Telephone (no dashes) Years Known Name Relationship Telephone (no dashes) Years Known A.) Have you used another name while employed? (other than the name used on this application) YesNo If yes, please explain B.) Do you raise, own, or keep any feathered animals? YesNo No employee may raise, own, or keep any feathered animals. No employee may reside in a residence where feathered animals are raised, owned, or kept. This includes feathered animals kept outdoors or in outbuildings at the residence. C.) Please note additional information you feel is appropriate 1. I hereby affirm that the information provided on this application (and accompanying résumé, if any) is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date. 2. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in the application (and accompanying résumé, if any) to provide any information that may be requested by Forsman Farms, Inc. in connection with my employment application, and release all parties from all liability for any damage that may result from furnishing information to Forsman Farms, Inc. 3. This application is not a contract and cannot create a contract. I understand that my employment can be terminated with or without cause, at any time, at the discretion of either Forsman Farms, Inc. or myself. I understand that no management official other than the president of the company has any authority to enter into an agreement contrary to the foregoing or make any oral assurance or promise of continued employment. 4. I understand that this application will be kept in the active files for a period of six months from the date indicated below. I further understand that if I am not hired during that period, I must complete and execute a new application form to be considered for future employment. 5. I hereby authorize Forsman Farms, Inc. to verify any information provided herein. Please leave this field empty. If you have questions, please email firstname.lastname@example.org or download and email our PDF application.