Aplicacino

VALLEY FEED & SUPPLY INC. AKA VALLEY FEED dba VALLEY FEED PET FOOD CENTERS dba PETSBARN
AN EQUAL OPPORTUNITY EMPLOYER
APPLICATION FOR EMPLOYMENT GOOD FOR 30 DAYS

This application must be filled out in its entirety. Resumes are welcome but are not a substitute for the information requested below.
Please PRINT and use blue or black ink

DATE______/______/________.

S.S. #__________________________.

FULL NAME__________________________________________________________. PHONE #____________________________ OR ______________________________. POSITION DESIRED____________________________________________________. FULL OR PART-TIME____________________________________________________. READ AND SIGN AFTER COMPLETING APPLICATION:
In making this application for employment, and if hired, Ihereby understand, certify and state that:  Valley Feed is authorized to obtain and disclose information and records from my previous employers, from any governmental agency, from schools I have attended and from past and future Valley Feed employment, if any; and I release any individual, partnership, corporation, governmental agency, school or Valley Feed from any liability whatsoever forfurnishing or disclosing any such information.  a pre-employment investigative report may be made, and that I have the right to make a written request within a reasonable period of time to receive information about such report, if any. We will treat all information confidentially.  any false, misleading or incomplete statement of information or omission of any information on this application shall beconsidered sufficient cause for immediate termination of my employment.  I will comply with all Federal, State and Municipal Laws, Ordinances and Regulations, including but without limitation, those governing Federal excise taxes, cigarettes/tobacco, intoxicating liquors, dangerous drugs, and narcotics and will not involve Valley Feed in any violation of same.  I will comply with the rules andregulations of Valley Feed.  my employment with Valley Feed is for no definite period and may be terminated at any time, with or without cause, and without any previous notice, at the option of Valley Feed or me. I further understand that no employee, manager or other agent or representative of Valley Feed, other than its Chief Executive Officer, has any authority to enter into any agreement oramendment contrary to the foregoing.  this application is active for thirty (30) days from today's date. If I still desire a position with the company after this application expires, it will be my responsibility to complete and submit a new application.  Valley Feed supports a drug free environment; you may be required to take a random or periodic drug screening. All applicants and employees mustbe willing to undergo drug screening and/or polygraph testing as a condition to their employment.

Signature__________________________________
S.S. # __________________________.

date___________________

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VALLEY FEED APPLICATION FOR EMPLOYMENT an Equal Opportunity Employer

.Please PRINT and use blue or black ink

FULLNAME_______________________________________________________________________________ PRESENT street number city state zip HOME ADDRESS______________________________________________________________
include home, cell, or other numbers where you my be contacted.

PHONE Date of Birth______________________ NUMBERS______________________________________________________________

Position desired_____________________________ full part-time seasonal/summerYES  NO Are you available to work anytime? If not, please provide the days and/or hours you are NOT available to work: M TW T F SS F R O M T O YES  NO YES  NO YES  NO YES  NO Do you have a driver’s license? Has your license ever been revoked or canceled? If so, why?_____________________. Have you had any traffic ticket in the last 12 months? Do you have your own reliable...