Online Application – Ag Dryer Services

Ag Dryer Services, Inc. is an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including age, sex, color, race, creed, national origin, religion, marital status, sexual orientation, political belief or disability.

All hiring and employment at Ag Dryer Services, Inc. is at will. I understand this application is not employment contract, nor can it be used to create one. Employment by Ag Dryer Services, Inc. has no specific term and may be terminated by the employee or Ag Dryer Services, Inc. with or without notice. I acknowledge that Ag Dryer Services, Inc. has not made any promises or representations that differ from those in this paragraph.

I understand that before being employed at Ag Dryer Services, Inc., I must comply with the pre-employment section of Ag Dryer Services, Inc. drug and alcohol program.

Applicant Information

First Name *

Middle Initial *

Last Name *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Date *

Phone *

Email *

Date Available *

Position Applied for *

Desired Salary *

Are you a citizen of the United States? *

Yes

If no, are you authorized to work in the U.S. *

Have you ever worked for this company? *

Yes

If yes, when? *

Have you ever been convicted of a felony? *

Yes

If yes, explain *

Education

High School *

Address *

From *

To *

Did you graduate? *

Yes

Degree *

College/Community College *

Address *

From *

To *

Did you graduate? *

Yes

Degree *

Personal References

Instructions

Please list three references that are not relatives or former employers.

Full Name *

Relationship *

Address *

Phone *

Full Name *

Relationship *

Address *

Phone *

Full Name *

Relationship *

Address *

Phone *

Previous Employment

Company *

Job Title *

Address *

Phone *

Supervisor *

May we contact your previous supervisor for a reference? *

Yes

From *

To *

Starting Salary *

Ending Salary *

Responsibilities *

Reason for Leaving *

Company *

Job Title *

Address *

Phone *

Supervisor *

May we contact your previous supervisor for a reference? *

Yes

From *

To *

Starting Salary *

Ending Salary *

Responsibilities *

Reason for Leaving *

Company *

Job Title *

Address *

Phone *

Supervisor *

May we contact your previous supervisor for a reference? *

Yes

From *

To *

Starting Salary *

Ending Salary *

Responsibilities *

Reason for Leaving *

Military Service

Branch *

From *

To *

Rank at Discharge *

Type of Discharge *

If other than honorable, explain *

Disclaimer and Signature

Disclaimer

I certify that my answers are true and complete to the best of my knowledge.

Requirements *

Travel

Lift 50 lbs

Read Tape Measure

I know of no reason that I cannot perform the job requirements as explained to me during the hiring process for the specific job applied for. These requirements may include: lifting 50 lbs, accurately reading a tape measure, and possibly traveling to remote job locations. Check all requirements that apply to you.

Signature (please enter your full name) *

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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