Country Partners Cooperative

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It is the policy of this company to provide equal employment opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, physical or mental handicap or veteran status.

PERSONAL INFORMATION

What is your contact info?
Are you under 18 years of age?
I am a U.S. Citizen or otherwise authorized to work in the United States on an unrestricted basis:
Have you ever been convicted of a felony?

BUSINESS/PROFESSIONAL REFERENCES

EMPLOYMENT HISTORY

OK to Contact:
OK to Contact:
OK to Contact:
OK to Contact:

EDUCATION

POSITION INFORMATION

Position Specifications

Are you able to meet attendance requirements?
Are you willing to travel for the job?
Have you worked at Country Partners previously?

Skills

Please describe any skills you have in the following areas:
DRIVER AND MECHANIC APPLICANTS ONLY

Driving Record - List all licenses (Driver Applicants Only)

Has license, permit or privilege to operate a motor vehicle ever been denied, revoked or suspended?

Driving Experience - List the number of years of experience for each vehicle (Driving Applicants Only)
Platform Experience (Driver AND Mechanic Applicants)
Have you operated a fork lift?
Mechanic Experience (Mechanic Applicants Only)
Are you ASE Certified?
I hereby certify that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize this company to investigate any aspect of my prior educational and employment history.

Furthermore I understand that if I am hired, employment with this company is "at will," which means that either the company or I can terminate my employment for any reason not prohibited by state or federal law.