Agventures NW, LLC

AgVentures NW, LLC

Application for Employment

At HighLine Grain, LLC

AgVentures NW, LLC is a member company of HighLine Grain, LLC and is the employment administrator for HighLine Grain, LLC. Successful applicants will be subject to the policies and guidelines held by AgVentures NW, LLC.

Date:
PERSONAL INFORMATION
Please PRINT all information legibly
NAME: First Middle Last
ADDRESS: Street Number and Name, City, State, Zip Code / Home Phone:
Social Security Number: / Cell Phone:
Can you, after employment, provide verification of your legal right to work in the United States?
YES NO
Are you over 18?
YES NO / Do you have a valid driver’s license?
YES NO
Have you ever been convicted of a felony?
YES NO If yes, please explain:
(A conviction will not necessarily disqualify you.)
EMPLOYMENT DESIRED
Type of Position desired: Full Time Part Time Seasonal
POSITION desired: / Date Available / Salary desired
$
Are you presently employed? YES NO
If yes, may we contact your present employer? YES NO
Have you ever applied for a job at any of the following companies AgVentures NW, LLC, Highline Grain LLC, Reardan Grain Growers Inc or Odessa Union Warehouse?
YES NO If yes, when?
EMPLOYMENT DATA
Please list in order of the most recent employment first / Additional Comments
Company Name: / Phone:
Dates of Employment:
From: / To:
Address (Include Street, City, State, Zip Code):
Job Title: / Base Rate of Pay:
Start: $ Final: $
Supervisor (Name & Title):
Description of Job Duties:
Reason for Leaving:
Company Name: / Phone:
Dates of Employment:
From: / To:
Address (Include Street, City, State, Zip Code):
Job Title: / Base Rate of Pay:
Start: $ Final: $
Supervisor (Name & Title):
Description of Job Duties:
Reason for Leaving:
Company Name: / Phone:
Dates of Employment:
From: / To:
Address (Include Street, City, State, Zip Code):
Job Title: / Base Rate of Pay:
Start: $ Final: $
Supervisor (Name & Title):
Description of Job Duties:
Reason for Leaving:
AgVentures NW, LLC is an Equal Opportunity Employer. Applicants for all job openings are welcome and will be considered without regard to race, color, religion, national origin, sex, age, sexual orientation, physical or mental disability, or any other basis protected by state, federal or local law. It is our intent to comply with all applicable federal, state and local legislation concerning equal opportunity in employment. Proof of citizenship or authorization for employment in the USA is required before final selection.
I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
Applicant Signature / Date of Application

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