APPLICATION FOR EMPLOYMENT

We are an Equal Opportunity Employer. All Agriteer applicants will be considered for employment without regard to race, religion, color, gender, national origin, age, marital status, veteran status, disability, genetic information, or any other status protected by law.

PERSONAL INFORMATION

Are you at least 18 years of age? YesNo

If you are not at least 18 years of age, how old are you?

Are you legally eligible for employment in the United States? (If hired, Employment Verification is required by law.) YesNo

Best Time to Contact: *

Date available for employment: *

Hourly Rate/Salary Desired: *

Are you currently employed? YesNo

If no, how long have you been unemployed?

Have you been previously employed by Agriteer, LP? YesNo

Do you have a valid driver’s license? YesNo

Do you have a valid commercial driver’s license (CDL)? YesNo

Are you able to perform all of the essential functions of the job for which you have applied, with or without reasonable accommodation? YesNo

If hired, will you work overtime as required? YesNo

Have you been discharged or fired from any job that you have held within the past 10 years? YesNo If you answered yes above, please describe the circumstances involved.

Indicate special qualifications or skills:

Circle highest grade completed:

High school 789101112G.E.D. College, trade or business 1234 Graduate studies

School Name and Address

Degree, Diploma, License or Certificate

EMPLOYMENT EXPERIENCE
(Please list most recent first; do not skip any employers)

Current Employer:

Phone:

Address:

City, State, Zip:

Duties:

Reason for Leaving:

From:

To:

Position:

Supervisor’s Name:

May we contact your present employer? YesNo

Current Employer:

Phone:

Address:

City, State, Zip:

Duties:

Reason for Leaving:

From:

To:

Position:

Supervisor’s Name:

May we contact your present employer? YesNo

Current Employer:

Phone:

Address:

City, State, Zip:

Duties:

Reason for Leaving:

From:

To:

Position:

Supervisor’s Name:

May we contact your present employer? YesNo

PROFESSIONAL REFERENCES:
(Please provide the names of 3 persons not related to you – 2 professional & 1 personal preferred).

APPLICANT’S AUTHORIZATION AND CERTIFICATION

PLEASE READ CAREFULLY

I understand that providing false information on an application for employment is grounds for the Company to refuse to hire me, or to terminate my employment in the event that the misrepresentation is discovered after I have been hired. In submitting this application for employment, I authorize the Company to investigate all statements contained in it, and I understand that my current and/or former employers may be contacted to provide information concerning my suitability for employment, and that the references whom I have listed above will be contacted concerning my suitability for employment. I expressly authorize the Company to conduct such inquiries and I release the Company and any responding parties from any and all liability associated with such inquiries I understand that in the event that I am hired, I will be hired as an at-will employee, and my employment may be terminated at any time, with or without cause, at the option of either the company or myself. I understand that no representative of the Company except the President has any authority to enter into any legally binding employment agreement. I certify that I have read this entire employment application, including all information that I have provided on the application, and the entire statement set forth immediately above. I further certify that all of the information that I have provided on this employment application is true and correct.

After completion, please return this form to: Agriteer, LP, Human Resources, 133 Rothsville Station Road, PO Box 395, Lititz, PA 17543-0395, or fax to: 717-627-5788, or email to: careers@agriteer.ag.

Recently Added Products

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

EDUCATION

Circle highest grade completed:

EMPLOYMENT EXPERIENCE
(Please list most recent first; do not skip any employers)

PROFESSIONAL REFERENCES:
(Please provide the names of 3 persons not related to you – 2 professional & 1 personal preferred).

PERSONAL REFERENCE:

Cecilton, MD

Harrisonburg, VA

Leola, PA

Richland, PA

Warsaw, VA

Waynesboro, PA

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

EDUCATION

Circle highest grade completed:

EMPLOYMENT EXPERIENCE (Please list most recent first; do not skip any employers)

PROFESSIONAL REFERENCES: (Please provide the names of 3 persons not related to you – 2 professional & 1 personal preferred).

PERSONAL REFERENCE:

Sign In to sync your saved items

EMPLOYMENT EXPERIENCE
(Please list most recent first; do not skip any employers)

PROFESSIONAL REFERENCES:
(Please provide the names of 3 persons not related to you – 2 professional & 1 personal preferred).