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Flint Hills Beverage
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Employment Application
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Step
1
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Full Name
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First
Last
Email
*
Phone Number
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Are you applying for Full-Time or Part-Time?
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Full-Time
Part-Time
Are you 21 years or older?
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Yes
No
Are you willing to work night and/or weekend hours if required?
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Yes
No
Expected Salary?
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May we contact your current employer?
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Yes
No
May we contact your past employer?
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Yes
No
Have you had any sales related work? Explain.
Do you have any truck driving experiences? Explain.
Do you have skills operating forklifts or other machinery or equipment? Explain.
Do you have experience working in a warehouse facility? Explain.
Do you have any truck loading / unloading experience? Explain.
Can you lift 50 lbs. repetitively?
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Yes
No
Are you able to move products weighing up to 165lbs.?
Yes
No
If offered the job, would you be willing to take a physical exam at our expense?
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Yes
No
Have you ever been convicted of any alcohol or drug related traffic violations? Explain.
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Do you currently have a driver's license?
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Yes
No
Do you currently have a CDL license?
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Yes
No
If yes, please list the License Number and Expiration Date:
Have you ever been convicted of a crime? Explain.
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List all traffic violations within the past five years:
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During the past two years have you tested postive or refused to test on any pre-employment drug and alcohol test administered by an employer that you applied to, but did not obtain, safety-sensitive transportation work covered by DOT drug and alcohol testing rules?
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Yes
No
Next
Record of Education
High School Education
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School, City, State/Zip, Graduation Year
College Education
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School, City, State/Zip, Degree(s), Graduation Year
Record of Employment
Record of Employment 1
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Place of Employment, Address, Number, Years Employed, Position Held, Job Duties, Name of Supervisor, Supervisor's Number, Gross Income Earned, Hours Worked, Reason for Leaving
Record of Employment 2
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Place of Employment, Address, Number, Years Employed, Position Held, Job Duties, Name of Supervisor, Supervisor's Number, Gross Income Earned, Hours Worked, Reason for Leaving
Record of Employment 3
*
Place of Employment, Address, Number, Years Employed, Position Held, Job Duties, Name of Supervisor, Supervisor's Number, Gross Income Earned, Hours Worked, Reason for Leaving
References
Reference 1
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Please include their Name, Number, Relationship and Company.
Reference 2
*
Please include their Name, Number, Relationship and Company.
Reference 3
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Please include their Name, Number, Relationship and Company.
How did you hear about this job?
Social Network (Facebook, Twitter, etc.)
Current FHB Employee
Past FHB Employee
Independent Internet Search
Job Site (LinkedIn, Indeed etc.)
FHB Website
Resume Upload
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Cover Letter Upload
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I understand that if I am offered the job, it will be contingent upon passing a physical examination with questionnaire. I also understand that any false or misleading statements on the pre-employment physical questionnaire may be cause for dismissal. I hereby consent to submit to a background investigation, physical examination, and drug screening test if such is applicable to the position for which I may be considered. I understand that I may be subject to periodic examinations if I am hired. I also agree that all former employers or any other persons may furnish Flint Hills Beverage, LLC with all information regarding their record of my services, character and reason for leaving. I hereby release such former employers and persons from all liability on account of providing such information. By my signature, I certify that I am of legal working age to be employed by your company, and that I am eligible to work in the United States under current immigration laws, and that I have not omitted any information relative to the proceeding questions. I understand that, if hired, I will be required to authorize the release of my Motor Vehicle Driving Record (MVR) to the company to certify your driving record is adequate for coverage as a driver of our company vehicles.
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Clear Signature
Signature of Applicant
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