APPLICATION FOR EMPLOYMENT

Position(s) Applied For:

Date of Application:

4720 Fourth Avenue N.
Sioux Falls, SD 57104

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

How Did You Learn About Us?

Advertisement

Internet

Friend

Relative

Walk-in

Other

Last Name:

First Name:

Middle Name:

Address:

City:

State:

Zip Code:

Telephone Number(s):

Social Security Number:

Are you over 18 years of age?

Yes

No

Have you ever filed an application with us before?

Yes

No

Are you currently employed?

Yes

No

Have you ever been employed with us before?

If yes, give date:

Yes

No

May we contact your current employer?

Yes

No

Can you prove you are legal to work in the United States?

(Proof of Citizenship or immigration status will be required upon employment.)

Yes

No

On what date would you be available for work?

If applying for a production job, are you available to work:

Monday - Thursday (6am - 6pm)

Monday - Thursday (6pm - 6am)

Friday - Sunday (6am - 6pm)

Are you currently on "lay-off" and subject to recall?

Yes

No

Do you have a dependable means of transportation to and from work?

Yes

No

Yes

No

Have you ever been convicted of a crime?

If yes, please explain in detail, including dates:

Email Address:

If yes, give date(s):

(please check all that apply)

(A criminal record does not constitute automatic bar to employment.)