Employment Application

Sooner Cooperative, Inc.

EMPLOYMENT APPLICATION


Please fill out all information below and submit. A Sooner Cooperative, Inc. Representative will contact you 1-2 day from submission. Thanks.


*You may also print this page to fill out by hand and bring in to us or mail. 

Name *
Current Address *
Phone *
AGE (if under 18)
Do You Have Current Drivers License * YES
NO
EDUCATION - SCHOOL NAME AND ADDRESS ALONG WITH COMPLETION DATE AND DEGREE *
EDUCATION CONT'D
EDUCATION CONT'D
HEALTH CONDITION: * GOOD
FAIR
EXCELLENT
DO YOU HAVE ANY PHYSICAL IMPAIRMENTS, LIMITATIONS, OR MEDICAL CONDITIONS THAT WOULD IMPAIR YOU TO DO THE JOB FOR WHICH YOU ARE APPLYING?* * YES
NO
*IF YES, GIVE DETAILS BELOW.
REFERRED BY:
CHECK IF YOU HAVE HAD ANY EXPERIENCE OR TRAINING IN THE FOLLOWING FIELDS: * CONVENIENCE STORE
BOOKKEEPING
PETROLEUM
AGRONOMY
GRAIN ELEVATOR
FARM STORE
TIRE REPAIR
OTHER
DO YOU HAVE ANY OF THE FOLLOWING LICENSE CREDENTIALS? CDL
AIR BRAKES
HAZMAT
TANKER
WHEN CAN YOU START? *
HAVE YOU WORKED FOR SOONER PLAINS AG PREVIOUSLY? YES
NO
* IF YES, PLEASE EXPLAIN INCLUDING DATES: (A YES ANSWER WILL NOT AUTOMATICALLY DISQUALIFY YOU FROM EMPLOYMENT, WE WILL CONSIDER THE NATURE AND DATE OF THE OFFENSE FOR JOB-RELATED PURPOSES ONLY)
PREVIOUS WORK EXPERIENCE: (PLEASE LIST MOST RECENT PREVIOUS TWO JOBS)
EMPLOYER:
POSITION HELD/DUTIES:
ADDRESS:
FROM:
TO:
MANAGERS NAME & TITLE:
REASON FOR LEAVING:
MAY WE CONTACT? YES
NO
PHONE NUMBER:
STARTING SALARY:
FINAL SALARY:
EMPLOYER:
POSITION HELD/DUTIES:
ADDRESS:
FROM:
TO:
MANAGERS NAME & TITLE:
REASON FOR LEAVING:
MAY WE CONTACT? YES
NO
PHONE NUMBER:
STARTING SALARY:
FINAL SALARY:
PLEASE LIST TWO REFERENCES WHO WE MAY CONTACT: (Please do not list family)
NAME
ADDRESS
RELATIONSHIP
PHONE NUMBER
NAME
ADDRESS
RELATIONSHIP
PHONE NUMBER
I certify that the foregoing statements are true and correct. I authorize Sooner Cooperative, Inc. to make investigation of my personal or employment history and authorize any present/former employer, person, firm, corporation, credit agency or government agency to give Sooner Cooperative, Inc. any information they may have regarding me, and I understand that any misrepresentation, or omission shall be cause for dismissal. In consideration of the prospective employer review of this application, I release Sooner Cooperative, Inc. and all providers of information from any liability as a result of furnishing and receiving this information.
I further agree that, if employed, I will conform my conduct to Sooner Cooperative, Inc. rules, regulations and personnel policies. I understand that no personnel recruiter, interviewer or other representative other than an officer of Sooner Cooperative, Inc. has authority to enter into any agreement for employment for any specified period of time and that any employment manuals or handbooks that may be distributed to me during the course of my employment shall not be construed as a contract. I further understand that nothing contained in this application or the granting of an interview creates a contract for either employment or providing any benefit, and THAT I HAVE THE RIGHT TO TERMINATE EMPLOYMENT AT ANY TIME AND THAT SOONER COOPERATIVE, INC. HAS THE SAME RIGHT.
Electronic Signature *
Date *
* Required field

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