To be considered for the Sachs Peanuts employment, you must answer all questions (unless listed as optional) and complete all sections of this application form.

When completing this application make sure you:

Apply for one vacancy per application.
Give complete information on your education and work history (“see resume” is not acceptable).
List separately each job held and your duties for each position when you worked for one employer

and held more than one position.
As you describe your work history, make sure you highlight your competencies (knowledge, skills, abilities
and work behaviors) which demonstrate your qualifications for the position for which you are applying.
Check for accuracy, sign and date your application.

Last name

First name and Middle Name

Birthday

Street Address

City

Region/State/Province

Postal / Zip code

Home Phone

Work Phone

Are you a United States Citizen or legally eligible to work in the U.S.?

Yes

Other Phone

Are you 18 or older?

Yes

(If hired, you will be required to provide documentation that you are eligible to work in the U.S.)

Position Applying for:

Social Security Number

Date Available for Work

EDUCATION

Please select your highest level of Education

Highschool

College

Graduate School

High School Attended (Name, Location, Dates Attended, Graduate? Yes or No)

College(s) or University(s) Attended (Name, Location, Dates Attended, Graduate? Yes or No, Type(s) of Degree(s) Received)

Graduate or Professional School Attended (Name, Location, Dates Attended, Graduate? Yes or No, Type(s) of Degree(s) Received)

Describe your qualifications for the type of employment you are seeking: (Please include skills, special training, etc.)

EMPLOYMENT HISTORY

Please provide the following information for your previous three employers, beginning with the most recent.

Current or Previous Employer

1.

Job Title

Telephone

Weekly Pay Start

Weekly Pay Finish

Reason for Leaving

Current or Previous Employer

2.

Job Title

Telephone

Weekly Pay Start

Weekly Pay Finish

Reason for Leaving

Current or Previous Employer

3.

Job Title

Telephone

Weekly Pay Start

Weekly Pay Finish

Reason for Leaving

Start Date

End Date/Present

Address

Job Duties

Start Date

End Date/Present

Address

Job Duties

Start Date

End Date/Present

Address

Job Duties

REFERENCES

Please list names of supervisors, managers, or others who can comment directly on your abilities:

1.

Name 1

Telephone 1

Years Known 1

2.

Name 2

Telephone 2

Years Known 2

3.

Name 3

Telephone 3

Years Known 3

Address 1

Occupation/ Relationship 1

Address 2

Occupation/ Relationship 2

Address 3

Occupation/ Relationship 3

OTHER INFORMATION

Have you ever been convicted of, or are you now under charges for, any misdemeanor or felony offense? Omit (1) traffic fines, (2) any offense committed before your 18th birthday which was finally adjudicated in a juvenile court or under a youth offender law, (3) any conviction the record of which has been expunged under federal or state law and (4) any conviction set aside under the Federal Youth Corrections Act or similar authority.

(A yes response will not disqualify you from employment)

Yes

If checked yes, please provide us with additional information:

Have you been previously interviewed or employed by Sachs Peanuts/EJ Cox?

Yes

If Yes, list date(s) and job title(s):

Do you have any relatives currently working for Sachs Peanuts/EJ Cox?

Yes

If Yes, list names and relationship to you:

PLEASE REVIEW APPLICATION CAREFULLY.

PLEASE READ THE FOLLOWING AND SIGN THE APPLICATION IN THE SPACES PROVIDED BELOW.

IF YOU HAVE ANY QUESTIONS, PLEASE SPEAK WITH THE HUMAN RESOURCES REPRESENTATIVE BEFORE SIGNING.

I understand that employment by Sachs/El Cox Company is "at will". This means that the company relationship can be ended by me or Sachs/El Cox Company at any time or reason with or without advance notice and with or without cause. It also means that Sachs/El Cox Company may revise and make exceptions to it's policies, practices, handbooks, manuals, procedures, and regulations in whole or in part, at any time. I further understand that acceptance of an offer of employment does not create a contractual obligation upon Sachs/El Cox Company to continue to employ me in the further or for any specific term.

Notwithstanding the above, I understand that no representative of Sachs/El Cox Company, except the president, has any authority to enter into any agreement of employment for a definite term. Any such agreement must be in writing and signed by the president.

If employed by Sachs/El Cox Company I agree to comply with all safety and health rules, company policies and procedures, and local, state and federal laws pertaining to my employment. Although management makes every effort to accommodate individual preferences, organizational needs may make the following conditions mandatory: overtime, rotating work schedules, or work schedule other than Monday through Friday or normal business hours. I understand and accept these as conditions of my employment should I be hired.

I have reviewed this application carefully and I hereby affirm that my statements and answers to all questions on this application are true and correct and that I have not knowingly withheld any fact or circumstance that, if withheld would affect my application unfavorable. I understand that any misstatement or omission of fact on this application may result in my application not being considered, and if employed, may result in my immediate dismissal.

Your Signature

Today's Date

INVESTIGATION AUTHORIZATION

By my signature below I hereby authorize Sachs/EJ Cox Company to conduct an investigative report and/or reference check concerning all statements contained in my application for employment; to interview all employers, references, and other individuals and- institutions; to obtain information and opinions about me; and to conduct any other investigation that it deems appropriate. Such investigation may include but is not limited to my education, employment history (except my current employer if I have so indicated above), character, general reputation, driving record, credit history, and criminal record. In the event that I am employed by Sachs/EJ Cox Company, I hereby authorize Sachs/EJ Cox Company to answer any inquiries regarding my employment, conduct, qualifications and reasons for leaving. All prospective employees of Sachs/EJ Cox Company are required to take and pass an initial drug test. All employees' of Sachs/EJ Cox Company are required to take and pass random drug test.

I understand that I have the right to request Sachs/EJ Cox Company to disclose to me, completely and accurately the nature and scope of the investigations. (Such request must be made in writing to the Human resources department within a reasonable time after you have completed and signed this authorization)

In exchange for being considered for employment, I hereby release Sachs/EJ Cox Company, its employees, and agents, as well as any law enforcement agency, current or former employee, educational institution, credit agency, or any individual providing information about me to Sachs/EJ Cox Company from liability arising from disclosure of such information that is obtained during said investigation.

I have read and understand the above information regarding my authorization for investigation

Yes

Your Signature

Today's Date

Full Name

Thank you! We’ll be in touch.

PO Box 7 | 9323 Hwy 701

Clarkton, NC 28433

info@sachspeanuts.com | Tel: 1-800-732-6933

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Employment Application Submission