Application – Farmstead Butcher Block

Farmstead Butcher Block Application | Section 1

Date *

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

Do you have a valid driver's license? *

Yes
CDL
No

Job Listings | Section 2

You can apply for multiple positions.

Office Manager
Custodian/Maintenance
Custodian/Security

**Applicant for these jobs must be 18 years of age to comply with federal laws regarding the operation of some equipment.

Desired Salary (per hour) *

Date available for work *

Have you ever worked for this company before? *

Yes
No

Have you ever been convicted of a felony? *

Yes
No

Education | Section 3

High School Attended *

Address *

Address Line 1

City

State

Zip Code

Did you graduate or receive a GED? *

Yes
No

List any vocational, trade schools, or colleges you have attended. Did you graduate? What is your degree?

Professional Reference | Section 4

Reference 1

Reference name 1 *

First

Last

Relationship *

Phone

Email

Address

Address Line 1

City

State

Zip Code

Professional Reference | Section 5

Reference 2

Reference name 2 *

First

Last

Relationship *

Phone

Email

Address

Address Line 1

City

State

Zip Code

Employment History | Section 6

I am currently employed *

Yes
No

Current or most recent past employer company name

Phone

Email

Address

Address Line 1

City

State

Zip Code

Supervisor

Job title

Responsibilities

From

To

Starting hourly salary

Ending or current hourly salary

Reason for leaving

May we contact your current or previous employer/supervisor for a reference?

Yes
No

Employment History | Section 7

Company name

Phone

Email

Address

Address Line 1

City

State

Zip Code

Supervisor

Job title

Responsibilities

From

To

Starting hourly salary

Ending hourly salary

Reason for leaving

May we contact your previous employer/supervisor for a reference?

Yes
No

Employment History | Section 8

Company name

Phone

Email

Address

Address Line 1

City

State

Zip Code

Supervisor

Job title

Responsibilities

From

To

Starting hourly salary

Ending hourly salary

Reason for leaving

May we contact your previous employer/supervisor for a reference?

Yes
No

Disclaimer and Signature | Section 9

1. My answers are true and correct to the best of my knowledge. *

Yes

2. If this application leads to employment, I understand that any false or misleading information in the application or in my interview may result in my release from employment with Farmstead Butcher Block LLC *

Yes

3. I understand that a negative pre-employment drug test is required. I understand that I will be subject to random drug testing during my employment with Farmstead Butcher Block LLC and that a positive test could result in my immediate release from the company. *

Yes

4. Authorization for release of information referenced in this application. *

Yes

I authorize investigation of any and all statements contained herein and the references listed to give you any and all information concerning my current/previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any and all damages that may result from furnishing same to Farmstead Butcher Block LLC. I understand and agree that, if hired, my employment is not for a definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice. This form has been designed to comply with state and federal fair employment practice laws prohibiting employment discrimination. Farmstead Butcher Block LLC is an equal opportunity employer.

Why are you interested in working in the meat processing industry? Are you looking for a job or a long term career. Are you willing to be involved in on the job specialized-training related to this industry?

Type your name here *

By typing your name above, you indicate you have answered YES to questions number 1, 2, 3, and 4 in this section.