*Please fill out this form if you are applying for a position in our processing facility.

Applicant Name:                                                                                                                

Have you worked in the food industry before?         (  ) yes                        (  ) no 

If yes, please describe:_________________________________________________
____________________________________________________________________
____________________________________________________________________

Have you worked in manufacturing before?              (  ) yes                        (  ) no

If yes, please describe:_________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Have you ever worked with large equipment before (e.g. forklifts, etc.)?
(  ) yes                        (  ) no

Are you able to lift 40lbs comfortably and without injuring yourself?
(  ) yes                        (  ) no

Are you able to work on your feet for 4 sustained hours at a time at a consistent temperature of 38 degrees Fahrenheit?
(  ) yes                        (  ) no
 

All of the information provided above is true to be best of my knowledge.  I understand that if I am hired, I may be discharged at any time if it is found that I misrepresented information on this application.

Signature:                                                                            Date: