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APPLICATION FOR EMPLOYMENT

Please complete this application in its entirety. Your opportunity for employment with MDV will depend on the completeness and accuracy of the information on this form. MDV will keep your application on file for a period of two years following the date of this application. Minnesota Dehydrated Vegetables, Inc. is an Affirmative Action, Americans with Disabilities, Equal Opportunity Employer and fully complies with all laws that prohibit discrimination. This form is available in alternative formats for applicants with a disability. Please notify Human Resources if you require a reasonable accommodation in the application process.

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Today's Date
Month
Day
Year
Are You at Least 18 Years of Age?
Yes
No
Are you presently employed?
Yes
No
Are you authorized to work in the United States without sponsorship?
Yes
No
Are you willing to work:
Full Time
Part Time
Fill-In
Which shifts:
Any Shift
Shift 1: 11 p.m. – 7 a.m. (includes weekends)
Shift 2: 7 a.m. – 3 p.m. (includes weekends)
Shift 3: 3 p.m. – 11 p.m. (includes weekends)
Packaging: 7 a.m. – 5 p.m. (generally Mon.-Thur. w/some Fri. or weekends)
Warehouse: 8 a.m. - 4:30 p.m. (generally Mon.-Fri. w/some weekends)
How did you hear about this position?
An MDV Employee
Newspaper
Website
Minnesota Workforce Center
North Dakota Job Service
Walk-In
Indeed
Friend or Relative
Other
Have you ever been employed MDV before?
Yes
No
If it is required for this position, do you have a current Driver's License in good standing?
Yes
No
Do you have current vehicle insurance?
Yes
No

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EMPLOYMENT HISTORY
May we Contact?
Yes
No

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May we Contact?
Yes
No

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SKILLS & TRAINING

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EDUCATION
Did You Graduate?
Yes
No
GED:
Yes
No
Did You Graduate?
Yes
No

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REFERENCES

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Applicant’s Certification

 

I understand that Minnesota Dehydrated Vegetable, Inc. (MDV) is an "at-will employer" and if I am hired, my employment may be terminated at the will of either party, with or without cause, and without prior notice.

 

MDV is an Affirmative Action, Americans with Disabilities, Equal Opportunity Employer. Qualified applicants are considered without regard to race, religion, creed, color, national origin, citizenship, marital status, sex, age, sexual orientation, gender identity, veteran status, political ideology, ancestry, the presence of any physical, sensory, or mental disabilities, or other legally protected status. 

 

I authorize MDV to conduct a thorough background investigation of my employment and educational history and verify all data given on this application and during interviews. I hereby release MDV and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals and firms named to provide any requested information and release them from all liability for providing the requested information.

 

I certify that all statements on this application are complete and correct to the best of my knowledge. I understand that failure to complete any required item on this application or providing false information may be cause for rejection of my application or cause for dismissal from my employment whenever discovered. I also understand that if I fail to sign this statement my application cannot be considered for employment.

 

I understand that if I am selected, based on position requirements, I will be required to submit to and pass a pre-employment drug screening and/or criminal background search and/or history or physical fitness test as a condition of employment.

 

I have read and understand the above certification statement. Further, I have reviewed the position description for this position and certify that I am able to perform the essential functions listed, with or without a reasonable accommodation. Please accept my application for employment with Minnesota Dehydrated Vegetables, Inc.

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