Kerber Companies Desktop Application

Name*FirstLast

Mailing Address*Street AddressAddress Line 2CityState / Province / RegionPostal / Zip Code

Country

Phone*

Email*

Are you 18 years or older?*

Yes

Are you legally authorized to work in the United States?*

Yes

Do you or anyone in your household currently have contact with swine that would create a biosecurity concern?*

Yes

Date you can start*

Desired salary*

Are you willing to relocate?*

Yes

Have you previously been employed by us?*

Yes

Are you looking for:*

Part-time

Full-time

Temporary

Are you will to work weekends?*

Yes

How did you hear about us?

Newspaper

Walk-In

Radio

School

If you were referred, who were you referred by?

Education History

High school name and location

College/technical college name and location

Please list your degrees:

Employment History

1. Employer

Job title

Reason for leaving

Date started

Date left

Contact phone

Describe job duties

May we contact them?

Yes

2. Employer

Job title

Reason for leaving

Date started

Date left

Contact Phone

Describe job duties

May we contact them?

Yes

Experience/Knowlege

Pig Skills - I have experience in:

Loading, unloading, and moving

Artificial Insemination

Farrowing

Treating pigs and vaccination

Other Livestock - I have experience in:

Cattle

Sheep

Poultry

Horses

Construction - I have experience in:

Reading blueprints

Working with sub-contrators

Transportation - I am:

CDL lincensedAir break certifiedExperienced in haluing livestock

Semi trailer certifiedExperienced driving a pickup with stock trailerExperienced in hauling grain

Computer Skills - I have experience in:

Microsoft products

Internet Explorer

MAS 90

Other Software

Feed Mill - I have experience in:

Mixing feed

Pelleting

Loading trucks

Other Experience - I have experience in:

Sales

Administrative assistance

Customer service

Accounting

Current certification

PQA + Certification

TQA Certification

References

1. Name and Relationship

Phone

2. Name and Relationship

Phone

Certification and Acknowlegement

Signature*

I certify this information contained in this application is accurate, true and completed to the best of my knowledge and understand, if hired, falsified statements on the application shall be grounds for dismissal. I authorize investigation of all statements contained herein and all information concerning my previous employment and any pertinent information they may have and release all parties from all liability for any damage that may result from furnishing same to you. I understand, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice. I authorize and agree to submit to any pre-employment drug screen, if I should be offered a position.*

I agree