1921 NW US HWY 50, Lone Jack, MO 64070
Monday - Friday 08:00-16:00
816.697.1839
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Position Applying for*
Employee Information
Name*
Telephone*
Email*
Referral Source
Newspaper
Relative
Job Agency
Friend
Are you 18 years older?*
Yes
No
Have you ever applied with Republic-Foods before?*
Yes
No
Are you legally authorized to work in the United States ? *
Yes
No
List most recent employer
Name*
Address*
Position Title*
Skills*
Supervisor*
Telephone*
Start Date
Leaving Date
Reason for leaving*
Education
High School Name*
Years Completed*
Major
Graduated ?
College Name
Years Completed
Major
Graduated ?
Trade School
Years Completed*
Major
Graduated?
Additional Institution Name*
Years Completed*
Major
Graduated?
Skills and Qualification
Other qualifications such as special skills, abilities or honors that should be considered
Type of computers, software and other equipment you are qualified to operate or repair
Professional license, certification or registrations
Additional skills, incluiding supervision skills, other languages or information regarding the career/ occupation you wish to bring to the employer's attention
References
Name*
Occupation
Company
Telephone
Name*
Occupation
Company
Telephone
Information for the applicant
As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misreprensented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job, You may make a written request for information derived from the checking of your references. If necessary for employment, you will be required to supply proof of authorization to work in the United States, and maybe required to have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to information show above.
Equal Employment Opportunity
All qualified application will receive consideration for employment without regard to race, color, reguion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
