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Personal

Position

*If no, a work permit will be required

Work Experience




Education

Institution Name

Years Completed

Graduated or Degree

High School

College / University

Business / Technical

Additional

Skills & Qualifications

References

List three personal references who are not relatives or former supervisors

Reference Name

Phone Number

Years Known

Information to the Applicant

I have applied for employment with Gerber Poultry & Gerber Farm Division Inc. I understand the Company may verify the information seth forth in this appliacation and obtain additional background information. I authorize all persons, schools, companies, corporations and law enforcement authorities to supply any information concerning my background.

I certify that the information on this application is correct that any misenterpretation or omission of any information will result in my disqualification from consideration for employment, or, if employed my dismisal. I understand that this application is not a contract, offer or promise of employment that if employed I may resign such employment at my discretion with or without notice. Likewise the company can terminate my employment at any time with or without cause, unless otherwise required by law. I further understand that none other than the President of Gerber Poultry & Gerber Farm Division Inc. has the authority to enter into an employment contract or agreement with me, and that my at-will employment can be change only by written agreement signed by the President of Gerber Poultry & Gerber Farm Division.

I understand that this application is good only for sixty (60) days from today's date. If I still desire a position with the company after this application has expired; It will be my responsibility to complete a new application and file it with the Company. Failure to do so will result in the Company not consider me for employment.

Gerber Poultry, Inc. & Gerber Farm Division, Inc. are Equal Opportunity Employers