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Note

This application will be kept active for 60 days. If you have not been contacted within that time period, you must reapply in order to be considered.

Note to Applicants

If an offer of employment is made, you will be required to submit to a drug screening test. Employment is contingent upon meeting medical department requirements for this test.

Instructions

Please complete all sections of the application.

To submit a cover letter and/or resume in addition to your application, please email documents in either Word or Adobe pdf format to: patricia.storti@lykesranch.com. Cover letters and/or resumes received without a Lykes employment application will not be considered.

Personal Data

Present Mailing Address

at Residence  
 
State  
 

Permanent Mailing Address

at Residence  
 
State  
 

Previous Addresses

Please include previous temporary and permanent addresses covering the last three years.

Address 1  
 
State
From to  

Address 2  
 
State
From to  

Address 3  
 
State
From to  

Are you under 18 years of age?
If yes, please indicate date of birth:

Are you a U.S. citizen or national; a permanent resident, a refugee, an asylum; or authorized to work under the temporary resident provisions of the U.S. immigration law?
 
If you answered no, please indicate your immigration status or other authorization to work (specify):

Do you currently use tobacco products?
If you answered yes, which tobacco products do you use?
 

Your Job Interests

I am applying for the following positions:  

On what date would you be available to begin work?
Minimum Salary Requirement:

In many jobs, one or more of the following conditions are required, and inability to satisfy these work schedules may limit further consideration of your application. Please indicate whether you are able to perform:
A. Shift work?
B. Overtime work?
C. A work schedule that may include Saturday and Sunday?
 

Education and Training

Please complete all appropriate items, even if you have already provided us with a résumé.

Type of School

High School  
Graduated?
Last Year Attended

College  
Graduated?
Last Year Attended

Graduate School  
Graduated?
Last Year Attended

Business or Trade  
Graduated?
Last Year Attended

Correspondence/Trade School  
Graduated?
Last Year Attended

Other(such as GED)  
Graduated?
Last Year Attended

Please list academic honors, scholarships or fellowships; memberships in academic honorary societies; or participation in or offices held in extracurricular activities you consider significant. (You may exclude all information indicative of age, sex, race, religion, color, national origin, and disability).

 

Employment Experience

Please list your job history for the past ten years, including volunteer or unpaid experience, starting with your current or most recent position. Include any periods in which you were not employed and explain what you were doing during that time. Include U.S. military experience (show rank/rate at discharge), self-employment, and summer/part-time or temporary jobs. Please complete all appropriate items, even if you have already provided us with a résumé.

 
 
State
May we contact your present employer?
* If Part Time
Starting Date
Leaving Date
Starting Salary $ Final Salary $
Explain the reason for leaving:
Please describe your responsibilities and/or accomplishments:  

Add More Employers

 

General Information

Do you currently have relatives working here?
If yes, give a name and relationship:

Have you ever been employed by any Lykes company?
If yes, provide
Please indicate your name at the time, if different than your current name:
 

Have you ever been discharged from any position?
If yes, state particulars of each occurrence:  
 

Please read the following statements carefully, as they represent matters of importance to both you and Lykes Agriculture. Please initial each paragraph and sign below:

The information that I have provided on this application including the Background Data Sheet is accurate and complete to the best of my knowledge. Any misrepresentation or omission in my application, resume, or any other materials will be justification for refusal of employment or is cause whenever discovered, for termination of employment should I be employed. I understand that although management attempts to accommodate individual circumstances, including religious observance requirements, business needs may at times make the following conditions required: overtime, shift work, or a schedule that includes Saturday and Sunday.
Lykes Agriculture may verify information that I have provided and may have a confidential report prepared. If employed, I will sign Lykes Agriculture agreements regarding data security and other obligations as an employee. I understand that upon request I may obtain a copy of these agreements.
By initializing this statement, I voluntarily authorize Lykes Agriculture to verify information related to my education, credit, employment (with the exception of current employment, until I have authorized such contact), background data, and driver's license records. In addition, periodic driver's license record checks are conducted after employment has begun if a job requirement is to drive a Lykes Agriculture vehicle. I release from all liability and responsibility all individuals or entities supplying or collecting such information. I understand and authorize the use of a credit reporting agency to secure this information. Company policy prohibits the hiring of smokers. In order to be offered employment with Lykes Agriculture, YOU MUST BE A NON-SMOKER. Any offer of employment is contingent upon you remaining a non-smoker during your period of employment with Lykes Agriculture If you indicated that you are a non-smoker when completing the Application for Employment and you are hired and it is later determined that you are a smoker, you will immediately be terminated for falsification of the Application for Employment.
A drug screening test is required if an offer of employment is made. Failure to successfully complete the required drug screening will result in withdrawal of the offer of employment. I understand that employment with the company is employment at will and Lykes Agriculture may terminate my employment for any reason, with or without cause at anytime, and I am free to terminate my employment at any time for any reason.
I acknowledge that the company has informed me that it has a drug free workplace and I agree to abide by the terms of that policy, including but not limited to, reporting any workplace drug arrests or convictions occurring after employment with Lykes Agriculture. I will provide appropriate documentation establishing my identity and employment authorization prior to employment as required to complete the U.S. Government Employment Eligibility Verification Form.

NOTIFICATION OF RIGHTS UNDER THE FCRA
INITIAL INFORMATION DISCLOSURE
FORM 1

This notification is provided to you as an applicant for employment with Lykes Agriculture Company pursuant to the Fair Credit Reporting Act, as amended by the Consumer Credit Reporting Reform Act of 1996.

As a routine part of our employment process, Lykes Agriculture Company may procure or have prepared a consumer report on potential applicants, including you. To do so, Lykes Agriculture Company engages the services of a consumer reporting agency, MAF. The information contained in the consumer report may be used by Lykes Agriculture Company when making employment decisions.

Lykes Agriculture Company may also secure an investigative consumer report on potential applicants. An investigative consumer report is a report containing information on an applicant's character, background, general reputation, personal reputation, personal characteristics, and mode of working. This information is obtained by the consumer reporting agency through personal interviews with employers, friends, or associates.

You are hereby advised that upon written request, you may obtain a complete and accurate disclosure of the nature and scope of this investigation, and a copy of any report prepared about you.

If Lykes Agriculture Company takes adverse employment action based in any part on information contained in either the consumer report or the investigative consumer report, Lykes Agriculture Company will inform you of that and provide you with a copy of both the report and a summary of your rights under the Act.


I have received the Lykes Agriculture Company Applicant Notification of FCRA rights. I have had an opportunity to review the notification and to ask any questions regarding my rights under the Act.


 

Background Data

Please provide accurate and complete information in response to the following four (4) questions. This information will be taken into account in the employment process. Do not include in response to any of the questions below: arrest without convictions, convictions or incarcerations for which a record has been sealed or expunged. Please note that a criminal record will not necessarily disqualify you from employment.

In the last seven years, have you committed or been convicted or plead guilty, no contest or have had adjudication withheld to a crime or other offense? Include military service convictions or guilty pleas.
 
 
Are you currently on parole, probation, work release program, conditional release, or serving a weekend sentence as a result of a conviction or guilty plea?
 
 
In the last seven years, have you been confined (incarcerated) as a result of the sentence of any court? (Include incarcerations resulting from the sentence of a military court or similar proceeding).
 
If you have answered "yes" to any of the above questions, please provide the following information for each statement. If not, please go directly to the next question below.
 
a) The date, place, offense, and charge:
b) The location of the court and the sentence imposed or other disposition of the matter as a result of a conviction or guilty plea.
c) If you have been in prison, the name and location of the facility or facilities in which you served your sentence:
d) Any rehabilitative efforts undertaken while in prison or following release (e.g., education, employment, counseling, etc.)
e) Any other information that you believe is pertinent to our full understanding of this matter:
 
Are you presently under indictment or are you currently a defendant in any criminal proceeding?
 
If you have answered "yes", state:
 
a) The date and place of the occurrence leading to the indictment or pending charge, and the charge:
b) Where and when a trial is scheduled in connection with the indictment or pending charge:
 

Please read carefully before signing

You are advised that Lykes Agriculture Company may request that a report be prepared to verify the information provided above. If you are being considered for a position requiring driving a Lykes Agriculture Company vehicle, a periodic report examining your driving record may also be requested. Your signature below authorizes Lykes Agriculture Company to obtain these reports. Your signature further reflects your understanding that any misrepresentation or deliberate omission of a fact on the Background Data Sheet will justify terminating consideration of your application for employment, or, if employed, terminating your employment.

If this application was completed by someone other than applicant:
Application reviewed for completeness by:  
 
 
Lykes Agriculture is an Equal Opportunity Employer M/F/V/D. ER1611 D-Not Hire-2 yrs./Hires-P 6/11.