EMPLOYMENT APPLICATION
(Please fill out completely)

LAST NAME
FIRST NAME
M.
OTHER NAMES YOU HAVE WORKED UNDER
PRESENT ADDRESS
CITY, STATE, ZIP
SOCIAL SECURITY #
HOME PHONE
CELL PHONE
MESSAGE PHONE
EMAIL ADDRESS
 
WHAT POSITION ARE YOU APPLYING FOR
DATE AVAILABLE FOR WORK
SALARY REQUIRED
PLEASE SELECT TYPE OF EMPLOYMENT DESIRED FULL TIME PART TIME TEMPORARY
PLEASE SELECT SHIFT DESIRED 1ST SHIFT 2ND SHIFT 3RD SHIFT ANY
HAVE YOU PREVIOUSLY WORKED AT FRONTIER? YES NO
IF YES, WHEN?
HAVE YOU APPLIED HERE BEFORE? YES NO
IF YES, WHEN?
ARE YOU 18 YEARS OF AGE OR OLDER? YES NO
HAVE YOU EVER BEEN CONVICTED, PLEAD GUILTY TO, OR RECEIVED A DEFERRED SENTENCE FOR A CRIME (MISDEMEANOR OR FELONY) IN THIS STATE OR ANY OTHER STATE? YES NO
IF YES TO ANY OF THE ABOVE, PLEASE EXPLAIN ALL
SELF-DESCRIPTION
WHAT GOALS HAVE YOU SET FOR YOURSELF?
AS YOU VIEW YOURSELF, HOW WOULD YOU DESCRIBE YOUR STRONG POINTS?
WHAT DO YOU FEEL ARE YOUR WEAKNESSES?
ABILITIES YOU POSSESS THAT WOULD MAKE YOU AN ASSET TO FRONTIER:
EDUCATION (Must be filled completely)
School Name and Location Major Course Studied Did you Graduate? GPA Highest Degree If Degree Received -Major
High School YES NO
College YES NO
Other YES NO
EMPLOYMENT HISTORY (List most recent employers first. Must be completed in full or application may not be processed.)
EMPLOYER
ADDRESS
 
CITY, STATE, ZIP
PHONE NUMBER
SUPERVISOR'S NAME
MAY WE CONTACT FOR A REFERENCE? YES NO
IF NO, PLEASE EXPLAIN
POSITION
EMPLOYED FROM / /
TO / /
# HRS WORKED PER WEEK
SALARY
REASON FOR LEAVING
JOB DUTIES
EMPLOYER
ADDRESS
 
PHONE NUMBER
SUPERVISOR'S NAME
MAY WE CONTACT FOR A REFERENCE? YES NO
IF NO, PLEASE EXPLAIN
POSITION
EMPLOYED FROM / /
TO / /
# HRS WORKED PER WEEK
SALARY
REASON FOR LEAVING
JOB DUTIES
EMPLOYER
ADDRESS
 
PHONE NUMBER
SUPERVISOR'S NAME
MAY WE CONTACT FOR A REFERENCE? YES NO
IF NO, PLEASE EXPLAIN
POSITION
EMPLOYED FROM / /
TO / /
# HRS WORKED PER WEEK
SALARY
REASON FOR LEAVING
JOB DUTIES
EMPLOYER
ADDRESS
 
PHONE NUMBER
SUPERVISOR'S NAME
MAY WE CONTACT FOR A REFERENCE? YES NO
IF NO, PLEASE EXPLAIN
POSITION
EMPLOYED FROM / /
TO / /
# HRS WORKED PER WEEK
SALARY
REASON FOR LEAVING
JOB DUTIES
WORK RELATED ORGANIZATIONS AND ACTIVITIES. (Exclude those which would reveal race, religion, gender, origin, age, disability, or other protected status.)
REFERENCES (Must be completed in full or application may not be processed.)
List 3 persons not related to you whom you have known at least one year:
Name Address Phone Occupation Years Known Personal or Professional
SPECIFIC SKILLS
BI/MULTILINGUAL? YES NO
IF YES, WHAT OTHER LANGUAGES?
COMPUTER SKILLS
TYPING SPEED (WPM)
OTHER SKILLS, LICENSES OR CERTIFICATES
LIST ANY ADDITIONAL INFORMATION APPROPRIATE FOR CONSIDERATION
PLEASE READ AND CHECK

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge.   I also agree that falsified information or significant omissions will disqualify me from further consideration for employment and will result in dismissal if discovered at a later date.

I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in this application (and accompanying resume, if any) to provide any relevant information that may be required to arrive at an employment decision.

I understand that, as a condition for employment consideration with Frontier Natural Products Coop, or as a condition of my continued employment with Frontier Natural Products Coop, Frontier may obtain a background history that includes, but is not limited to the following: my characteristics, employment and education, social security verification, criminal and civil history, personal interviews, DMV records, other public records and any other information bearing on my character, general reputation, personal characteristics and trustworthiness.

I hereby authorize and consent to Frontier's procurement of reports that provide Frontier with information about me.   I understand that, pursuant to the federal Fair Credit Reporting Act, Frontier will provide me with a copy of any such report if the information contained in such report is, in any way, to be used in making a decision regarding my fitness for employment with Frontier.   I further understand that such report will include the name and address of the reporting agency that produced the report.

In consideration for employment with Frontier, if employed, I agree to conform to the rules, regulations, policies and procedures of Frontier at all times and understand that this is a condition of employment.   I understand that due to the nature of the business, attendance and punctuality are considered essential requirements of every job and that poor attendance or tardiness will result in disciplinary action.  

I understand that employment at Frontier is "at will" and can be terminated, with or without cause, at any time at the discretion of either the company or myself.   I also understand that no management official is authorized to make any oral assurance or promise of continued employment, and that any such agreement must be in writing and signed by the CEO of the organization.

I certify that I have read and understand the above statements.   The information I have provided is true, correct, and complete.

This application will be maintained in an active file for a period of three (3) months from the date of application.