Job You Are Applying For:
Basic Information:
Location: Harbeson Pinnacle Plant Corporate Office Dagsboro Hatchery Seaford Live Operations Seaford Feed Mill Seaford Truck Shop Liberty, NC
Can you perform the essential functions of the position with or without reasonable accommodation? Yes No
For what status are you applying? Full-Time Part-Time Temporary-Only
Have you worked for Allen Harim before? Yes No
Location: Harbeson Pinnacle Plant Corporate Office Dagsboro Hatchery Seaford Live Operations Seaford Feed Mill Seaford Truck Shop Liberty, NC
Do you have any relative(s) employed by Allen Harim? Yes No
Regardless of your citizenship, can you show proof that you have a legal right to work in the United States? Yes No
If you did not graduate, why did you leave school or college?
Are you planning to pursue further studies? Yes No Day School Night School
If so, when, where and what courses?
Convictions:
Have you ever been convicted of any crime, excepting any crime that has been pardoned or the record expunged (if so, please explain) Yes No
In Case of Emergency Notify:
Do you agree to abide by the rules and regulations of the Company?Yes No
Do you certify that all contents on this application form are true and correct?Yes No
Do you consent to take any post-offer, pre-employment physical examination and such future examinations as may be required by the Company to determine whether you are still able to perform the essential functions of the job whether a reasonable accommodation is necessary or when the physical examination sought is job-related and consistent with business necessity?Yes No
Do you give consent and agree to any drug tests or background check that the Company may request to take as part of or separate from any such physical examination? Yes No
Do you understand that any misstatement of facts herein is cause for termination of employment?Yes No
Do you given consent to the Company verifying all the above information you have provided on this application form, including schooling, training, and employment data, and agree to execute as a condition of employment or of continued employment written authorization to provide the Company with access to and copies of records pertaining to such information. In addition, do you further agree and release from all liability or responsibility all persons, school, companies, or agencies for supplying any information relating to the matters referred to on your application form?Yes No
Do you understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the Company and yourself. That no promises regarding employment have been made to you and understand that no such promise or guarantee is binding upon the Company unless made in writing and signed by a Company officer or yourself. If an employment relationship is established, you understand that you have a right to terminate your employment at any time and that the company retains a similar right?Yes No
Please read below statement and select YES or NO confirming that you understand.
UNDER STATE LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEE TO SUBMIT TO OR TAKE A POLYGRAPH, LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.00Yes No
Certification and Assent:
I certify that the entire contents of this application are true and correct. I understand that any misstatement of facts herein is cause for termination of employment.
I hereby consent to the Company verifying all the above information. I have provided on this application form, including schooling, training, and employment data, and agree to execute as a condition of employment or of continued employment written authorizations to provide the Company with access to and copies of records pertaining to such information. I further agree and release from all liability or responsibility all persons, school, companies or agencies for supplying any information relating to the matters referred to on my application form.
I consent to taking any post-offer, pre-employment physical examination and such future examinations as may be required by the Company to determine whether I am still able to perform the essential functions of my job whether a reasonable accommodation is necessary or when the physical examination sought it job-related and consistent with business necessity. I further consent and agree to any drug tests that the Company may request me to take as part of or separate from any such physical examination.
I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the Company and myself. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon the Company unless made in writing and signed by a Company officer and myself. If an employment relationship is established, I understand that I have a right to terminate my employment at any time and that the company retains a similar right. If employed, I agree to abide by the rules and regulations of the Company.
UNDER STATE LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEE TO SUBMIT TO OR TAKE A POLYGRAPH, LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.00.
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