Employment Application

Trail Dust Town Employment Application


AGRO PRE-EMPLOYMENT APPLICATION

Fields marked with * are required.

Agro Land and Cattle Co, Inc.

Our company is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, veteran status or any disability as provided in the Americans With Disabilities Act.

This application will be given every consideration, but its receipt does not imply that applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.

A hard copy of this application is available by clicking here.

Application Information




Full Name*



Other Names Used



Years Used



Address*



City*



State*



Zip Code*



Email*

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Home Phone*

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Cell Phone



Other Cities and States in which you have lived within the last (5) years :



Current Driver's License Number



State of Issue

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Are you a citizen of United States?

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If no, are you authorized to work in the U.S.?

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Are you at least 16 yrs age?

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Are you at least 19 yrs age? (Required for positions that handle alcohol)

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Do you have reliable transportation?

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If yes, explain:

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Employment Desired


Are you seeking:

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Position Desired

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Location desired



Desired Salary

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Date available to start


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Have you ever applied to our company before?

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If yes, when and where?

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Have you ever worked for our company?

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If yes, reason for leaving?

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How did you learn about this position?

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Are you now, or do you expect to be working in any other business or job?

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Are there any days or hours you do be unable or unwilling to work?

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If yes, please specify those days or hours you are unable or unwilling to work

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Do you have the ability to work overtime if required by the position?

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Education


High School

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City

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From


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To


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Did you graduate?



College

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City

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From


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To


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Did you graduate?

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Major/Minor



Other Education



City

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From


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To


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Did you graduate?



If you didn't graduate, why did you leave high school or college?



What language do you speak fluently?




References


Full Name



Relationship



Company



Phone



Address



Full Name



Relationship



Company

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Phone



Address

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Full Name



Relationship

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Company



Phone



Address

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Previous Employment


Company



Phone



Address

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Supervisor



Job Title

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Starting Salary



Ending Salary



Responsibility



From


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To


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Reason for leaving

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May we contact your previous supervisor for a reference?



Company



Phone



Address

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Supervisor



Job Title

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Starting Salary



Ending Salary



Responsibility



From


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To


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Reason for leaving

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May we contact your previous supervisor for a reference?



Company



Phone



Address

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Supervisor



Job Title

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Starting Salary



Ending Salary



Responsibility



From


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To


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Reason for leaving

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May we contact your previous supervisor for a reference?




Capability


Briefly describe being "Customer Friendly"

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Describe why are you interested in working for our company and list those skills which you feel qualify you for the position

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Upload Your Resume (doc, docx, pdf, jpg). File name should match the Applicant name (Optional)




Affidavit and Authorization For Release of Information

I certify that my answers to the above questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading, or otherwise incorrect statements made on this application or during any interview may be grounds for my immediate discharge.

I agree that, if I am employed, I will abide by all the rules and regulations of the company. I understand that the taking of drugs and alcohol tests, when given pursuant to company policy, are a condition of continued employment and refusal to take such tests when asked will be grounds for my immediate termination, I understand that my employment is "at-will" and may be terminated by myself or by the company at anytime for any reason or no reason at will, with or without notice.

By signing below, I expressly acknowledge that I understand the information I disclose on the Agro Land & Cattle Co., Inc., or its operating divisions (AGRO) Pre-Employment or Employment Application or information submitted for employment consideration will be subject to verification by background investigation. I expressly and voluntarily authorize AGRO to conduct the investigation into my background, and agree to cooperate with the investigation. I shall hold AGRO. its Officers, employees, agents and contractors harmless for liability arising from any such investigation and they shall not be liable in any manner whatsoever in connection with an inquires and/or contacts made. I expressly authorize AGRO its Officers, employees, agents and contractors to obtain any information related in any manner to my criminal, credit, driving, employment and/or education history, from any source or sources whatsoever.

For the purpose of the background investigation, I expressly authorize release of any and all information about me and, and including but not limited to, the companies, schools and persons named in the AGRO application of information submitted for employment consideration. I further agree to release any such individual or entity from liability for damages and/or claims relating in any manner whatsoever to his/her/its release of any information about me to A GPO, its Officers, employees, agents and contractors.

If the investigation reveals any information that I have withheld, misrepresented or failed to reveal as requested, I agree that those issues may be fully examined and I hereby release to AGRO, its Officers, employees, agents and contractors from any and all potential and/or actual liability stemming from such examination.





AUTHORIZATION FOR RELEASE OF INFORMATION

By signing below, I expressly acknowledge that I understand the information I disclose on the AGRO LAND & CATTLE CO., INC., or its operating divisions' ("AGRO") Pre-Employment Application and/or Employment Application or information submitted for employment consideration will be subject to verification by background investigation. I expressly and voluntarily authorize AGRO to conduct the investigation into my background and I agree to cooperate with the investigation. I shall hold AGRO, its Officers, employees, agents and contractors harmless for liability arising from any such investigation and they shall not be liable in any manner whatsoever in connection with any inquiries and/or contacts made. I expressly authorize AGRO, its Officers, employees, agents and contractors to obtain any information related in any manner to my criminal, credit, driving, employment and/or educational history, from any source or sources whatsoever.

For the purpose of the background investigation, I expressly authorize release of any and all information about me and, including but not limited to, the companies, schools and persons named in the APRO application of information submitted for employment consideration. I further agree to release any such individual or entity from liability for damages and/or other claims relating in any manner whatsoever to his/her/its release of any information about me to AGRO or its Officers, employees, agents and contractors.

If the investigation reveals any information that I have withheld, misrepresented or failed to reveal as requested, I agree that those issues may be fully examined and I hereby release AGRO, its Officers, employees, agents and contractors from any and all potential and/or actual liability stemming from such examination.




I have READ and AGREE to the terms*



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Trail Dust Town
6541 East Tanque Verde Road
Tucson, AZ, 85715

info@traildusttown.com
520.296.4551
520.298.3614