Application for Employment
This employer participates in E-Verify
PO Box 244 • 164 Industrial Parkway • Jackson, MN 56143
Date of Application:  Indicates Required Field
Name:    
(Last) (First) (Nick Name) (Middle Initial)
Address:        
(Street) (City) (State) (Zip Code)
Telephone  Daytime:   Evening:  
Email Address:
Position(s) Applying For: (Hold ctrl key to multi select)
 
If selecting ‘Position Not Listed’ please specify title and additional comments:
  
How did you learn of the opening?
Have you ever applied here before?   If yes, give date    
Are you presently employed?  
May we contact your present employer?  
Are you prevented from lawfully becoming employed in this country?  
Are you currently a member of PETA, HSUS, or any other animal rights organization?  
List any friends or relatives working for us:
(Name) (Relationship)
(Name) (Relationship)
Are you available to work:
Date Available for Employment:
Are there any days or hours you would be unwilling to work?  
If yes, Please specify those days and hours you would be unable to work:  
Have you ever been convicted of a felony?
If Yes, Please explain:  
Have you ever been discharged from a position within the last 3 years?  
If Yes, Please explain:  
EMPLOYMENT EXPERIENCE
PREVIOUS EMPLOYER 1
Please give an accurate and complete full-time/part-time employment history. Start with your present or most recent job.
Company Name: Telephone#:  
Address: City:
State:     Zip: Supervisor:
Employed: From To
Wages: Start   Last  
State your job and describe your work:
Reason for leaving:
PREVIOUS EMPLOYER 2
Please give an accurate and complete full-time/part-time employment history. Start with your present or most recent job.
Company Name: Telephone#:  
Address: City:
State:     Zip: Supervisor:
Employed: From To
Wages: Start   Last  
State your job and describe your work:
Reason for leaving:
PREVIOUS EMPLOYER 3
Please give an accurate and complete full-time/part-time employment history. Start with your present or most recent job.
Company Name: Telephone#:  
Address: City:
State:     Zip: Supervisor:
Employed: From To
Wages: Start   Last  
State your job and describe your work:
Reason for leaving:
PREVIOUS EMPLOYER 4
Please give an accurate and complete full-time/part-time employment history. Start with your present or most recent job.
Company Name: Telephone#:  
Address: City:
State:     Zip: Supervisor:
Employed: From To
Wages: Start   Last  
State your job and describe your work:
Reason for leaving:
REFERENCES
Give three work related references.
Name Relationship Phone Number
1.
2.
3.
EDUCATION
High School College/University Graduate/Professional
School Name
Years Completed
Diploma/Degree
Grade Point Ave
Course of Study
Honors Received:
Please read and rate the following areas with which you have had practical experience/knowledge from 1 through 5.
(1= no experience; 5 = very experienced)
JOB SKILLS
Accounting  Receptionist  Bookkeeping 
Sales  Marketing  Secretary 
Payroll  Personnel  Supervisor/Manager 
Purchasing  Switchboard Opration 
Swine Production(Complete Inserted Ag Form) 
COMPUTER SKILLS/SKILLS TESTS
Microsoft Access   Data Entry  Great Plains 
Microsoft Excel  Quickbooks 
Microsoft Word  Myers/Briggs Indicator 
Other Programs 
Other Skills Test 
SPECIAL SKILLS AND QUALIFICATIONS
Summerize special skills and qualifications from previous employment or other experience.
AGRICULTURE EXPERIENCE
Please read the following catagories and rate your experiece/knowledge level from 1 throug 5.
(1= no experience; 5 = very experienced)
GESTATION FACILITY TYPES MANAGING PEOPLE
Moving Sows  Natural Ventilation  Supervising Employees 
Hand Feeding  Mechanical Ventilation  Performance Problems 
Auto Feeding  Double stock Wean to Finish  Processing Work Comp.Claims 
Hand Mating  Multiple Site Production  Unemployment Claims 
Pen Mating  All In /All Out  Giving Constructive Criticism 
A.I.Mating  Farrow to Wean  Teaching Tasks/Values 
Farrow to Feeder  Scheduling Work/Duties 
Scheduling Employees 
Problem Solving 
Working in Teams 
Conflict Resolution 
Leadership Skill/Training 
FARROWING MAINTENANCE RECORDS
Assist Farrrowing  Thermostats  Individual Sows 
Farrow Induction  Ventilation Fans  Breeding 
Injecting Pigs  Welding  Inventory 
Processing Piglets  Carpentry  Feed 
Treating Sick Pigs  Plumbing  PigCHAMP 
Cross-Fostering Pigs  Electrical  Pig Tales 
Split Weaning  Environmental 
Other:  
NURSERY GENERAL EQUIPMENT FINISHING
Sorting to Size  Cooling System  Sorting 
Managing Sick Pigs  Ventilation System  Marketing 
Treating Sick Pigs  LP Heaters  Treating Sick Pigs 
Managing Medicators  Pressure Washer  Feeder Adjustment 
Administer Vaccines  Feeders/Augers 
Loading/Unloading Pigs  Waste Mgmt Systems 
Feeder Adjustments 
TRANSPORTATION OTHER ABILITIES
CDL License  Ability to lift 50 lbs 
Semi Trailer Certified  Ability to climb over 4 foot gates 
Manual Transmission  Tractor 
Air Brake Certified 
Dry Feeders 
Wet Feeders 
Sprinklers 
List your strength:
List Areas needing growth/improvement:
Additional Information:
APPLICANT'S STATEMENT
I understand that consideration for employment is contingent upon the completion and results of reference checks. Therefore, I authorize New Fashion Pork to verify information related to my education, driving record (if applicable) and employment, and release from liability all persons or entities collecting such information. I further understand that an offer of employment will be made contingent upon a drug test, upon which further information will be provided.

This application for employment will be active for a period of time not to exceed six months. Any applicant wishing to be considered for employment beyond six months, should inquire whether or not applications are being accepted and reapply as necessary.

I understand that my employment is not guaranteed for any specific duration and, further, I understand that neither language contained in any other company documents nor any representations made by a member of management, whether orally or in writing, may be construed as altering the actual nature of my at-will employment.

I hereby certify that the information provided in this application is accurate and complete. I understand that any misrepresentation or omission may disqualify me from consideration for employment or may lead to my termination if hired.
Desired Salary: $    per   (Hourly/Monthly/Quarterly/Yearly)
New Fashion Pork is an Equal Opportunity Employer