Penn Dutch Form

In return for Penn Dutch considering my application I hereby release Penn Dutch and all such sources from all liability for any damage arising from the issuance of this information to Penn Dutch as well as for the use of such information by Penn Dutch. Have you ever worked for Penn Dutch before No If yes when If you previously worked for Penn Dutch are you returning from the military Yes No List any friends or relatives who work for us. I understand that no manager or representative of Penn Dutch other than the President of Penn Dutch has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing. If employed I agree that my employment may be terminated at the option of either myself or Penn Dutch with or without cause and with or without notice. However at Penn Dutch good attitude is more important than experience. Meat Cutter Product Receiving Seafood Specialist If applying for any of these experienced positions list your experience in detail in the Work History section of this application. Availability Penn Dutch is open every day from 8 AM to 6 PM. Manager Please mark only if the applicant is hired Part-time associate Full-time associate Penn Dutch Foods Application for Employment Complete this application. Answer every question. Print legibly. I hereby authorize and consent for the employers schools and persons I have named herein as well as other sources to give any information they may have regarding me whether or not it is in their records to Penn Dutch. If none write no prior work history. Include any Prior employment with Penn Dutch Foods Employer Job Duties in detail Dates From Until Pay Start Reason for Leaving Did you leave voluntarily Yes -No If no list reason given by employer. Personal Information Today s Date Print Full Name Last Phone Number Middle Initial First - Social Security - Present Address Number/Street Have you ever been known by another name Zip Code State City Yes No If yes what name Are you at least 18 years old OYes ONo if no verification of age is required* Are you legally eligible for employment in the United States Yes No All applicants are required to submit documentation in accordance with the Immigration Reform Control Act of 1986. Other than absences related to a disability or FMLA leave how many days of work did you miss in the past year Have you ever committed a crime other than a minor traffic violation No If yes describe in full below. Job Interests Completely fill in the circle next to each job you re interested in applying for. Note All jobs involve selling products and serving customers. Product Preparation Sales and Service Stocking Baker Trainee Deli Cleaning and Sanitation Bagging Cashiering Meat Wrapping Meat Cutter Trainee Produce Sausage Kitchen Maintenance You must have previous experience to apply for the following positions. If you re involved with illegal drugs please don t apply I Instructions Complete this form using blue or black ink.