Employment Application
We are committed to a policy of equal treatment and opportunity in every aspect of our employment relations without regard to race, color, religion, sex, national origin, age, marital status, or physical handicap. This includes, but is not limited to, recruiting, hiring, selection for training, transfers, promotion, compensation, or any company sponsored social and recreational programs.
 
Applicant Information
Email
Date
08/20/2019
Last Name
First
Middle
Social Security Number
XXX-XX-XXXX
Street Address
Phone Number
() -
City
State
Zip
Are you over 18?
 Yes        No
Position Applying For (Warehouse, Customer Service, Sales, etc.)
Were you ever employed at IFD before?
 Yes        No     If yes, when?   
Do you have any friends or relatives employed by IFD?        Yes        No
If yes, please list:    
Have you ever been convicted of a crime? (Misdemeanors, felonies, driving convictions, etc.) This information will not be used in determining employment status unless the conviction(s) is/are substantially related to the position for which you are applying.
 Yes        No
If yes, please list:    
 
Education and Training
Name and Location Course of Study / Degree Graduated
High School
  Yes        No
Technical
  Yes        No
College
  Yes        No
Military
  
Professional Memberships / Certifications
 
How Did You Hear About Us?
 Current Employee Name
 Website Which One?
 Other Explain:
 
Employment History (Previous 3 Years)
Name of Company
Job Title / Duties
 Date Started
Date Picker
Date Left
Date Picker
Name of Company
Job Title / Duties
 Date Started
Date Picker
Date Left
Date Picker
Name of Company
Job Title / Duties
 Date Started
Date Picker
Date Left
Date Picker
Name of Company
Job Title / Duties
 Date Started
Date Picker
Date Left
Date Picker
 
Skills and Abilities
Typing: WPM - 10 Key - Data Entry -
 
Valid Driver's License
 Yes        No       State: 		Forklift Certification
 Yes        No       		CDL
 Yes        No       Class:
Sit Down Forklift
 Yes        No       Year(s): 		Stand Up Reach Truck
 Yes        No       Year(s): 		Pallet Mover - Walking
 Yes        No       Year(s):
Pallet Mover - Riding
 Yes        No       Year(s): 		Other
   Year(s):
Technical Skills
Additional Skills / Qualifications
 
I certify that the above information is true and accurate. I understand and agree that any false information, misrepresentation, or omission of facts in this application may be justification for refusal to hire. I further understand and agree that all information furnished in this application may be verified by Indianhead Foodservice Distributors.
 
  

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