410 S County Line Rd.
Maple Park, IL 60151
888-414-2220

15038 E 3200 North Rd.
Blackstone, IL 61313
815-586-4244

Come work with us

This company is an equal employment opportunity employer. All applicants will be considered without regard to age, race, national origin, religion, gender, physical or mental disability, or other protected classifications in accordance with applicable federal and state equal employment opportunity laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of the job.

First name

Last name

Address

Phone

Which location are you applying for a position in?

Date Available for Employment

Month

Day

Year

Have you ever been employed by this company?

Yes

Are you employed now?

Yes

May we contact your current employer? If yes, please give name & telephone number

Type of work desired

Are you authorized to work in the U.S.?

Yes

If applying for a position that requires driving - do you have a valid driver's license in Illinois?

Yes

Driver's license #

State of driver's license issue

Driver's license expiration date

Are you available to work

Full Time

Part Time

Any notes about education?

Special skills, qualifications, and considerations

Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking:

Reference 1

Please list (3) non-relatives who are familiar with your qualifications and actual work history and ability. Please include Name, relationship, years known, and telephone number.

Reference 2

Please list (3) non-relatives who are familiar with your qualifications and actual work history and ability. Please include Name, relationship, years known, and telephone number.

Reference 3

Please list (3) non-relatives who are familiar with your qualifications and actual work history and ability. Please include Name, relationship, years known, and telephone number.

Name of last employer

Supervisor's name

Address

Job position

Phone

Dates employed (start date & end date)

Duties

What did you like most about your job?

Reason for leaving

Name of previous employer 2

Supervisor's name 2

Address 2

Job position 2

Phone 2

Dates employed (start date & end date) 2

Duties 2

What did you like most about your job? 2

Reason for leaving 2

Name of previous employer 3

Supervisor's name 3

Address 3

Job position 3

Phone 3

Dates employed (start date & end date) 3

Duties 3

What did you like most about your job? 3

Reason for leaving 3

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STAEMENT, PLEASE ASK THEM BEFORE SIGNING.

I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. By signing below, I authorize A&P Grain Systems, Inc. to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications.

If hired I will be responsible for familiarizing myself with all rules and regulations of A&P Grain Systems, Inc. as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of A&P Grain Systems, Inc. or at my option, without notice, at any time and for any reason.

I also understand that no representative of A&P Grain Systems, Inc. has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the President.

I understand this application is not an offer of employment and no promises or representations of employment have made to me at this time.

This application is valid for only ninety (90) days from the date I signed. If I want to be considered for job openings more than ninety (90) days from date signed, I will submit a new application.

I have read, understand, and agree with the above.

Signature

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