Little Sioux Corn Processors

Personal Information

First Name

Last Name

Street Address

City

State

Zip Code

Phone

Email

Are you 18 years of age or older?

Yes

No

Employement Desired

Position

Date You Can Start

Salary Desired

Are You Employed Now?

No

Yes

If So May We Inquire With Your Present Employer?

Yes

No

Ever Applied to This Company Before

Yes

No

If Yes, When?

Referred By

Education (Name and Location of School), Major, and Year Graduated

High School

College

Trade, Business, or Correspondence School

General

Subjects of Special Study

Special Skills

Activities (Civic, Athletics, ETC.)

U.S. Military or Naval Service

Rank

Present Membership in National Guard or Reserves

Have you ever been convicted of a crime other than traffic violations that has not been expunged, sealed, pardoned, or dismissed upon a condition of probation? (A conviction record will NOT necessarily disqualify you from employment)

No

Yes

If yes, please explain

Personal Employers (List below your last three employers, starting with last one first)

Employer Name, Position, and Time Worked There

References: Give the names of three persons not related to you, whom you have known for at least one year

Person's name, phone number, and business

In Case of Emergency Contact

Name of Person and phone number

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I hereby authorize LSCP to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. This may involve verifying the accuracy of information contained in this application from all previous employers, educational institutions, and references, as well as obtaining additional pertinent information they may have. I understand that LSCP may utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company's choice. I hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.

In consideration for my employment, I agree to conform to the company's rules and regulations.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I also understand and agree that the "at will" nature of the employment means the terms and conditions of my employment may be changed, with or without cause, and with or without prior notice, at any time by the company.

MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.

Required field

Application