Team Martin Farms Employment Application – Online Employment Application / Solicitud de empleo en línea

Application for employment - English

Martin Family Farms/Hoosierland Pork is an at will employer

Step 1 of 8

How did you hear about us?*
If other, please let us know where you heard about us.*
APPLICANT INFORMATION
Name*
First Middle Last
Address*
Street Address Apartment/Unit # City State Zip
Best Phone Numer*
Enter your best phone number we can reach you at.
Email
Date Available
MM slash DD slash YYYY
Social Security No.*
Desired Salary
Position Applied for
Are you a citizen of the United States?*
- Yes
- No
If no, are you authorized to work in the U.S.?*
- Yes
- No
Have you ever worked for this company?*
- Yes
- No
If so, when?*
MM slash DD slash YYYY

PREVIOUS EMPLOYMENT
Company
Phone
Address
Job Title
Superviser
First Last
Responsibilities
From
Month
Day
Year
To
Month
Day
Year
Starting Salary
Ending Salary
Reason for leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Company
Phone
Address
Job Title
Superviser
First Last
Responsibilities
From
Month
Day
Year
To
Month
Day
Year
Starting Salary
Ending Salary
Reason for leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Company
Phone
Address
Job Title
Superviser
First Last
Responsibilities
From
Month
Day
Year
To
Month
Day
Year
Starting Salary
Ending Salary
Reason for leaving
May we contact your previous supervisor for a reference?
- Yes
- No

Martin Family Farms takes the care of our animals very seriously and will, on employment, require you to sign a commitment to provide proper animal care and to immediately report any acts abuse or neglect.

Please disclose any affiliation you have or have had with any animal rights or activist organization including but not limited to PETA, HSUS, Mercy For Animals, Direct Action Everywhere, A.R.M. etc.

Note: Do not include affiliations with or donations to local county or city humane societies and animal shelters.
Organization:
Dates of affiliation:
Describe affiliation (e.g. donations given, active member):
Signature*
First Last
By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
Date*
MM slash DD slash YYYY
Martin Family Farms/Hoosierland Pork is a Drug Free Company

DRUG TESTING CONSENT FORM

I have applied for employment with Hoosierland Pork/Martin Family Farms the “company” has a condition for my application to be considered, I understand and agree to undergo substance screening. I understand that if my test results are positive, I shall not be considered further by this Company for employment.

I hereby authorize the Company or any medical professional retained by this Company for screening process to conduct such screening and to provide such results to the Company. I release the Company and any person affiliated with this Company and such institution or person controlling the screening from liability.
Signature*
First Last
By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
Date*
MM slash DD slash YYYY

Authorization and Disclosure for Background Check
We value our employees. In order to help safeguard them, Martin Family Farms / HOOSIERLAND PORK has joined Accurate Information Systems, LLC in conducting criminal background history checks on every employee.

NOTIFICATION DISCLOSURE

In connection with this employment opportunity, I understand that a Consumer Report or Investigative Consumer Report (Consumer Report) may be prepared and may include information from personnel, educational institutions,
government agencies, companies, corporations, credit reporting agencies, law enforcement agencies at the federal,
state or county level, relating to my past activities and background and may include, but is not limited to, academic,
residential, achievement, job performance, attendance, litigation, personal history, credit reports, driving records, and
criminal history records. If my prior employers and/or references are contacted, the report may include information
obtained through personal interviews regarding my character, general reputation, personal characteristics, and mode of living.

I may request a copy of any report that is prepared regarding me and may also request the nature and substance of all information about me contained in the files of the consumer-reporting agency. I understand I have the right to inspect those files with reasonable notice during regular business hours and I may be accompanied by one other person. The consumer-reporting agency is required to provide someone to explain the contents of my file. I understand proper identification will be required and I should direct my request to: Accurate Information Systems, LLC, 871 Venetia Bay Boulevard, Suite 210, Venice, Florida 34285 – Phone: 800-295-7109 Ext 115 / Fax; 941-412-0005

ACKNOWLEDGEMENT OF NOTIFICATION DISCLOSURE

By typing your name below and submitting, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.

AUTHORIZATION

I authorize Martin Family Farms / HOOSIERLAND PORK and Accurate Information Systems, LLC, a consumerreporting
agency, to retrieve information from all personnel, educational institutions, government agencies, companies, corporations,credit reporting agencies, law enforcement agencies at the federal, state or county level, relating to my past activities; and I authorize these entities to supply any and all information concerning my background. The information received may include, but is not limited to, academic, residential, achievement, job performance, attendance, litigation, personal history, credit reports, driving records, and criminal history records. I understand some or all of this information may be transmitted electronically and authorize such transmission.

I hereby certify all the statements and answers set forth on the application form and/or my resume are true and complete to the best of my knowledge, and I understand that if subsequent to employment any such statements and/or answers are found false or information has been omitted, such false statements or omissions will be just cause for the termination of my employment.

Further, I understand that by requesting this information, no promise of employment is being made. I am willing that a photocopy or digital submission of this authorization be accepted with the same authority as the original; and that if employed by the above-named company (except if employed in the state of California), this authorization will remain in effect throughout such employment.

By typing your name below and submitting, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
Name
First Middle Last
Other Names Used
If Married- How Long
Maiden Name
Email
Other Email
Home Address
Same as previous

Street Address Address Line 2 City State ZIP Code
How Long
Previous Address - If less than 7 years at present address
Street Address Address Line 2 City State ZIP Code
Phone
Sex
- Male
- Female
• NOTE: Date of birth, sex, and race are being requested only for purposes of identification on obtaining accurate retrieval
Date of Birth
Month
Day
Year
Race
Social Security #
Driver License #
State Driver’s License was issued in:
Signature*
First Last
By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
Date*
MM slash DD slash YYYY

Legal Pages

Employment Application (English)

Application for employment - English

Step 1 of 8

APPLICANT INFORMATION

EDUCATION

REFERENCES

PREVIOUS EMPLOYMENT

HOG FARM EXPERIENCE

DISCLAIMER AND SIGNATURE

NEW HIRE QUESTIONS

Authorization and Disclosure for Background Check