Apply Now (long form) | R&K Foods Inc.

Application for Employment

Pre-Employment Questionnaire
Equal Opportunity Employer

Personal Information

Name *

First

Middle

Last

Date of Birth *

Social Security Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Referred by

Employment Desired

Position Applying For *

Available to Start *

Salary Desired

Are you employed?

If so, may we inquire with your present employer?

Additional Information

State Driver's License Number

State

List of Traffic Tickets and Accidents (date, description):

Special Skills or Training:

Conditions which may affect your ability to perform the job:

Highest Level of Education Completed:

Are you able to lift 60 lbs on a regular basis?

Smoker

Smoker
Non-Smoker

Former Employers

Last four employers, starting with the most recent first.

Employer Name (1) *

From

Salary

Position

Reason for Leaving

Employer Name (2) *

From

Salary

Position

Reason for Leaving

Employer Name (3) *

From

Salary

Position

Reason for Leaving

Employer Name (4) *

From

Salary

Position

Reason for Leaving

References

Name *

First

Last

Email *

Phone

Business

Years Known

Name *

First

Last

Email *

Phone

Business

Years Known

Name *

First

Last

Email *

Phone

Business

Years Known

Cover Letter & Resume

Cover Letter

Click or drag a file to this area to upload.

Resume

Click or drag a file to this area to upload.

Authorization

Authorization *

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all information concerning my pervious employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.