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Employment ApplicationAplicación de Empleo

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Thank you for taking the time to consider employment with Keithly Williams Seeds. Please remember these important details when completing your application:

Include which location you are applying for. If not applying for a specific job, please put OPEN.
Incluya a cual locación está usted aplicando. Si no está aplicando por un trabajo específico, por favor seleccione ABIERTO.
Make sure you include your Mailing Address in the application.
Asegúrase de incluir su dirección de correo en la aplicación.
Please answer all questions openly and honestly
Por favor conteste todas sus preguntas abiertamente y honestamente.
Provide accurate addresses, telephone numbers, and dates of employment and supervisors for each job listed on your application.
Proporcione una dirección actualizada, números de teléfono, y las fechas de empleo y supervisores de cada empleo incluidos en su aplicación.
LEAVE NOTHING BLANK! “See Resume” is not ACCEPTABLE.
NO DEJE NADA EN BLANCO! “Ver el curriculum” no es ACEPTABLE.
Sign your application.
Firme su aplicación.
Previous education and work experience will be verified on all top candidates being considered for employment at Keithly Williams Seeds. Having the above information is imperative to properly determine each applicant’s qualifications for a specified job vacancy.
La educación y experiencia de trabajo previa va ser verificada a todos los candidatos finalistas que sean considerados para trabajar en Keithly Williams Seeds. Tener la información mencionada anteriormente es fundamental para diagnosticar apropiadamente las cualidades de cada candidato para una vacante específica de trabajo.

About The Application Process:

On the following pages, input the requested information then click continue each time (you don't have to go in order).
En las siguientes páginas, capture la información requerida después haga click en continuar.
You must finish the process in one session. If you close your browser, you will lose what you have done so far.
Usted debe terminar el proceso en cada sección. Si usted cierra su navegador, usted va perder lo que haya capturado hasta ese momento.
After you have input all of your information you can Review, Edit, then Submit your application.
Después de que capture toda su información, usted puede Revisar, Editar, y después Enviar su aplicación.
Once you click "Submit to Keithly" ONLY the final application will be sent to us and no further changes will be made.
Después de que haga click a “Enviar a Keithly” UNICAMENTE la aplicación final va ser enviada y no se podrán hacer más cambios.

Thank you,
The Keithly Williams Seeds Human Resource Department

Date:

First Name:*

First name

Last Name:*

Last name

Middle Name:

Address/Mailing:*

Address

City:*

City

State:

State

Zip Code:

Telephone:*

Phone

Alternate Telephone:

Email:*

Social Security Number:*

Social Security Number

Applying for:*

Position

Type 'OPEN' if no specific position.

Driver's License No:

Driver's License Expiration Date:

State:

If your position will require you to drive a company vehicle, do you authorize us to check your driving record?

Were you Referred to Keithly Williams Seeds?

Are you related to any current Keithly Williams Seeds employee? *

Do you have any written agreement with a current or former employer (or any other party) that would in any way prohibit you from working for Keithly Williams Seeds (such as a non-compete agreement)? *

Have you previously worked or do you currently work for Keithly Williams Seeds? *

Worked or Work for Keithly Williams

Are you available to work:

Full Time

Part Time

Shift Work

Temporary

Other:

Days/Hours available:

Days/Hours available

* Required Field
Enter "N/A" for required fields you can not complete.

Employment History

List all jobs (including military service) beginning with your MOST RECENT employer and the last 10 years of employment.

Employer 1

Employer:*

Employer

From:

To:

Address:

City:

State:

Zip Code:

Telephone:

Position Title:

Supervisor:

Employment Type:

May we contact this employer?:

Duties:*

Employer 1 Duties

Reason for leaving: (if military service, indicate type of discharge applicable)

Employer 2

Employer:*

Employer

From:

To:

Address:

City:

State:

Zip Code:

Telephone:

Position Title:

Supervisor:

Employment Type:

May we contact this employer?:

Duties:*

Employer 2 Duties

Reason for leaving: (if military service, indicate type of discharge applicable)

Employer 3

Employer:*

Employer

From:

To:

Address:

City:

State:

Zip Code:

Telephone:

Position Title:

Supervisor:

Employment Type:

May we contact this employer?:

Duties:*

Employer 3 Duties

Reason for leaving: (if military service, indicate type of discharge applicable)

Employer 4

Employer:*

Employer

From:

To:

Address:

City:

State:

Zip Code:

Telephone:

Position Title:

Supervisor:

Employment Type:

May we contact this employer?:

Duties:*

Employer 4 Duties

Reason for leaving: (if military service, indicate type of discharge applicable)

Have you ever been terminated or asked to resign from any job?:*

Terminated?

Please explain fully any gaps in your employment history:*

Employment History Gaps

* Required Field
Enter "N/A" for required fields you can not complete.

Skills and Abilities

Are you available/willing to work overtime?:*

Overtime

Are you legally eligible to work in the US (if applying for a job in the US)?:*

Overtime

What date would you be available to begin work?:*

State Date

What is your desired salary range or rate of pay?:*

Desired Salary

Would you relocate if the job required it?:*

Willing to Relocate?

Would you be willing to travel if the job required it?:*

Willing to Travel?

If the job requirements have been explained to you, are you able to meet the attendance requirements of this position?:*

Attendance Requirement

Are you able to meet the "essential functions" of the job for which you are applying (with or without a reasonable accommodation)?:*

Can you Meet Essential Functions?

Is there any other job related information you would like us to know?:*

Additional Information

* Required Field
Enter "N/A" for required fields you can not complete.

Applicant's Statement & Agreement

APPLICANT STATEMENT - Please read and certify acknowledgment before submitting application.DECLARACIÓN DEL APLICANTE- Por favor lea y confirme su conocimiento antes de enviar la aplicación.

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 immediate dismissal.Certificó que la información proporcionada en esta aplicación es verdadera y completa al mejor conocimiento que tengo y entiendo que si soy empleado, y falsifico información en esta aplicación serán suficientes causas para ser despedido inmediatamente.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information, personal or otherwise, they are able, and release the company from all liability for any damage that may result from utilization of such information.Yo autorizo la investigación de toda la información proporcionada, las referencias y empresas mencionadas anteriormente para recaudar cualquier y toda la información relacionada a mis empleos anteriores y cualquier información personal o de otro tipo y libero a la empresa de toda responsabilidad de cualquier daño que pueda resultar por la utilización de esta información.

I also understand and agree that no representative of Keithly Williams Seeds or any subsidiary has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized Keithly Williams Seeds company representative.Yo también entiendo y estoy de acuerdo que ningún representante de Keithly Williams Semillas o ninguna subsidiaria tienen ninguna autoridad para celebrar ningún acuerdo de empleo por ningún periodo específico de tiempo, o hacer ningún acuerdo contrario a lo anterior, a menos que sea por escrito y firmado por un representante autorizado de la empresa Keithly Williams Semillas.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilties Act (ADA) and other relevant federal and/or state laws.Este acuerdo no permite la liberación o el uso de información relacionada a discapacidad en una forma que sea prohibida por el Acto de Americanos con Discapacidades (ADA) y otras leyes relevantes del Estado y Federales.

I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that in accordance with federal law, Keithly Williams Seeds will provide me with written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that these reports would only be requested after a conditional offer of employment has been extended. I understand that a poor credit history or prior conviction will not automatically result in disqualification from employment.Yo entiendo que puede ser necesario un reporte de consumo de crédito o revisión de antecedentes criminales antes de mi contratación. Si estos reportes son requeridos, Yo entiendo que de acuerdo a la Ley Federal, Keithly Williams Semillas puede proveerme con una notificación por escrito del uso de estos reportes y va también a obtener por separado una autorización por escrito de mi parte para autorizar estos reportes. Yo también entiendo que estos reportes pueden ser requeridos únicamente después de que ha sido extendida una oferta de empleo. Yo entiendo que una historia de mal crédito o convicto de un crimen no van a descalificarme del empleo automáticamente.

In compliance with federal laws, all persons hired for a position in the United States of America will be required to verify identiy and eligibility to work in the United States and to complete the required employment eligibility verification document upon hire.En cumplimiento con las leyes federales, todas las personas contratadas para una posición en los Estados Unidos de América serán requeridas para verificar la identidad y elegibilidad para trabajar en los Estados Unidos y será requerido completar el documento de verificación y elegibilidad de empleo al ser contratado.

I understand that if I am hired, I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without notice, except as may be required by law.Yo entiendo que si soy contratado tengo libertad para renunciar en cualquier momento, con o sin causa y con o sin notificación previa y el patrón se reserva el mismo derecho de terminar mi empleo en cualquier momento con o sin causa y con o sin notificación, excepto cuando pueda ser requerido por la ley.

Keithly Williams Seeds does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an application for consideration of employment on the basis of sex, race, color, religion, national origin, citizenship, age, disability, sexual orientation or any other protected status under applicable federal, state, or local law.Keithly Williams Semillas no tolera discriminación ilegal en las prácticas de empleo. No hay pregunta en esta aplicación que sea usada con el propósito de limitar o excluir un candidato para consideración de empleo por razones de sexo, raza, color, religión, nacionalidad de origen, ciudadanía, edad, discapacidad, orientación sexual o cualquier otro estatus protegido por la Ley Federal, Estatal o Local.

BY SUBMITTING THIS APPLICATION, I CERTIFY THAT I HAVE READ, FULLY UNDERSTAND, AND ACCEPT ALL TERMS OF THE FOREGOING APPLICANT STATEMENT

APPLICANT SIGNATURE - Draw your signature into the box below. *

Se requiere FirmaSignature is required

DateFecha:

* Required Field
Enter "N/A" for required fields you can not complete.

Confirm

Review

Your information will be sent to the Keithly Williams Seeds HR Department. Please review it before submitting it to confirm all the information you provided has been compiled correctly.

Edit

If you need to make changes to your application you may do so at this point. Click any of the buttons below to edit that section. You can also use the navigation bar above. A yellow warning message indicates an incomplete section. A green check mark indicates that you have provided all the required information for that section.

Submit

You are missing required information, please complete your application before attempting to submit it.

Submit to KeithlyEnviar a Keithly

Date:

(Alternate)

Position:

Drivers License #:
Exp. Date:
State:
Allowed to check DMV:
SSN:

Referred to KW?:
If so by who:
Related to a KW Employee?:
Relationship Details:
Written Agreement regarding employment:
Agreement Details:
Previously worked for KW?:
Available to work:
If Other:
Hours Available:

Education

Education Received:
Institution:

College 1:

Name:
City:
State:
Dates Attended:
Degree:
Graduated:

College 3:

Name:
City:
State:
Dates Attended:
Degree:
Graduated:

College 2:

Name:
City:
State:
Dates Attended:
Degree:
Graduated:

Employment History

Employer 1

From: To:

,

Phone:
Title:
Supervisor:
Type of Employment:

Duties:
Reason for Leaving:
Allowed to Contact:

Employer 2

From: To:

,

Phone:
Title:
Supervisor:
Type of Employment:

Duties:
Reason for Leaving:
Allowed to Contact:

Employer 3

From: To:

,

Phone:
Title:
Supervisor:
Type of Employment:

Duties:
Reason for Leaving:
Allowed to Contact:

Employer 4

From: To:

,

Phone:
Title:
Supervisor:
Type of Employment:

Duties:
Reason for Leaving:
Allowed to Contact:

Ever been terminated?:
Circumstances:
Explanation of Gaps:

Skills & Abilities

Willing to work Overtime:
Comments:

Eligible to Work:
Comments:

Start Date:

Desired Salary:

Willing to Relocate:
Comments:

Willing to Travel:
Comments:

Able to meet attendance:
Comments:

Able to meet "Essential Functions":
Comments:

Other Info:

References

Reference 1

Name:
Occupation:
Telephone:
Email:
Years Known:

Reference 3

Name:
Occupation:
Telephone:
Email:
Years Known:

Reference 2

Name:
Occupation:
Telephone:
Email:
Years Known:

Applicant's Statement Signature:

Date:

Employment ApplicationAplicación de Empleo

Success:

Error:

Please Wait:

About The Application Process:

ACERCA DEL PROCESO DE APLICACIÓN

Education

Educación

College, University or Trade School

Colegio, Universidad o Escuela

College, University or Trade School

Colegio, Universidad o Escuela

College, University or Trade School

Colegio, Universidad o Escuela

Employment History

Historia de Empleos

Employer 1

Empresa 1

Employer 2

Empresa 2

Employer 3

Empresa 3

Employer 4

Empresa 4

Skills and Abilities

Competencias y Habilidades

Personal References

Referencias personales

Reference 1

Referencia 1

Reference 2

Referencia 1

Reference 3

Referencia 3

Applicant's Statement & Agreement

Declaración del candidato y Acuerdo

BY SUBMITTING THIS APPLICATION, I CERTIFY THAT I HAVE READ, FULLY UNDERSTAND, AND ACCEPT ALL TERMS OF THE FOREGOING APPLICANT STATEMENT

AL ENVIAR ESTA APLICACIÓN, YO CONFIRMO QUE LA HE LEÍDO, QUE ENTIENDO COMPLETAMENTE, Y ACEPTO TODOS LOS TÉRMINOS DE LA DECLARACIÓN DEL APLICANTE.

Confirm

CONFIRMACIÓN

Error:

Please Wait:

Application Submitted!

Aplicación enviada

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Le esta faltando información