Careers - AgroPro

Applicant Information

Full Name: Last, First, M.I.

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Date

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Street Address, Apartment/Unit #

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City, State, ZIP Code

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Phone Number

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Email Address

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Date of Birth

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Desired Start Date

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Desired Salary

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Position Applied For

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Are you a citizen of the United States?

YesNo Invalid Input

Do you have a GA driver's license?

YesNo Invalid Input

Do you have a clean driving record?

YesNo Invalid Input

Have you ever been convicted of a felony?

YesNo Invalid Input

Are you able to start work by 6:30 AM?

YesNo Invalid Input

Are you able to work 8 to 10 hours per day?

YesNo Invalid Input

Do you have reliable transportation?

YesNo Invalid Input

Are you able to lift and carry up to 50 lbs.?

YesNo Invalid Input

A conviction record will not necessarily be a bar to employment. This information will be used only for job-related purposes and only to the extent permitted by applicable law.

Federal laws require that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with such laws, Agropro, LLC will verify the status of every individual offered employment with the Company.

Comments

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Education

Name of High School

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From:

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To:

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High School Address

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Did you graduate?

YesNo Invalid Input

Diploma

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Name of College

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From:

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To:

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College Address

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Did you graduate?

YesNo Invalid Input

Degree

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Other School

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From:

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To:

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Address of Other School

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Did you graduate?

YesNo Invalid Input

Degree

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References

Please list three professional references.

Full Name

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Company

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Address

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Relationship

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Phone

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Full Name

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Company

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Address

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Relationship

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Phone

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Full Name

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Company

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Address

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Relationship

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Phone

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Previous Employment

Company

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Address

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Job Title

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Responsibilities

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Reason for leaving

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May we contact your previous employer for a reference?

YesNo Invalid Input

Phone

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Supervisor

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Starting Salary

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Ending Salary

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from

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To

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Company

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Address

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Title

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Responsibilities

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Reason for leaving

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May we contact your previous employer for a reference?

YesNo Invalid Input

Phone

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Supervisor

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Starting Salary

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Ending Salary

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From

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To

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Company

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Address

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Title

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Responsibilities

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Reason for leaving

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May we contact your previous employer for a reference?

YesNo Invalid Input

Phone

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Supervisor

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Starting Salary

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Ending Salary

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From

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To

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Military Service

Branch

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Rank at Discharge

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From

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Type of Discharge

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If other than honorable, explain

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To

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Disclaimer and Signature

We are committed to a policy of equal employment and all qualified applicants will receive consideration for employment without regard to his or her age, sex, sexual orientation, race, color, creed, religion, national origin or ancestry, citizenship, marital status, familial status, physical or mental disability, handicap, military or veteran status, genetic information, pregnancy or any other category protected under federal, state or local law, regulation or ordinance.

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature (Type Full Name to Sign)

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Employment Application

Applicant Information

Education

References

Previous Employment

Military Service

Disclaimer and Signature