STOP at the 1st point you cannot comply or choose not to continue. Any item left blank will end your consideration for employment. We may or may not be filling positions at this time. Your COMPLETED application will remain active for 90 days.
Can provide a Copy of Your Driving Record? Pre-Employment Drug Testing Required. (Please leave now if you feel you will not pass.)Pre-Employment Drug Testing Required. (Please leave now if you feel you will not pass.) Most positions require the physical ability to lift up to 50 to 75 pounds and temperature changes. Possible Positions - Warehouse Workers, Local Delivery Drivers, Food Processor, Clerical, Sales, Maintenance and Administration. Can you lift 50 to 75 pounds? Testing and Verifications
Reading / Math / Driving / Other Tests scheduled at our designated times. Minimal
testing scores are required and second tests are not offered. Driving records are
required for some positions. Minimal insurance standards must be met to be
considered for those driving positions.
Drug Testing - Pre-employment, Random, For Cause and Post-Accident drug tests are required. Failure of any drug/alcohol test prior to or during employment is grounds for immediate dismissal.
Criminal Background Check
Criminal Background Check - Any convictions (felony or misdemeanor) details are
required. Criminal background check is done if you are offered a job.
Employment Eligibility Verification
Employment Eligibility Verification - 2 forms of ID required at offer of employment.
(Driver License, official ID, social security card, passports, permanent residence card)
Employment Verification - 3 years employment history - Prior employers, day time
phone numbers, supervisors’ names
Job Applying For: Cell Phone Would you accept a different position? Email * Are you willing to work Overtime? (over 40 hrs./wk.) Are you willing to work Nights? Are you willing to work Holidays? Are you willing to work Weekends (Sat./Sun.)? Are you willing to Travel? Are you willing to be on Call? Indicate applicable work skills: Other job-related skills Please list the computer applications you have experience using How were you referred to this organization? Do you have any relatives working for this organization? Have you ever been employed by this organization? Are you eligible to work in the United States? Since reaching 18, have you been convicted of a misdemeanor? Since reaching 18, have you been convicted of a felony?
Note: Criminal background checks are required for specific positions within the company.
If yes, please explain EDUCATION - Highest Grade Completed: Grade, Junior High or High School EDUCATION - Highest Grade Completed: College or University EDUCATION - Highest Grade Completed: Graduate School High School Did you go to High School? High School Attended Name High School: Diploma/ Degree High School: Course of Study College College Attended Name Course of Study Diploma/ Degree Technical, Business or Professional School Did you go to Technical, Business or Professional School? Technical, Business or Professional School Attended Name Technical, Business or Professional: Address Diploma/ Degree Course of Study If you are now attending school, indicate where and the course of study PROFESSIONAL LICENSES/CERTIFICATIONS License / Certs State Expiration Registration # MILITARY SERVICE Branch Of Military, Rank and Classification Are you presently a member of the National Guard or the Reserves? EMPLOYMENT HISTORY - Please list previous employers with most recent employer first. Periods of unemployment should be included Company Name Immediate Supervisor Salary Range Per Hour Job Title Responsibilities / Duties Reason for Leaving EMPLOYMENT HISTORY Previous Job #2 Company Name Previous Job #2 Company Address Previous Job #2 Immediate Supervisor Salary Range Per Hour Job Title Responsibilities / Duties Reason for Leaving EMPLOYMENT HISTORY Previous Job #3 Company Name Previous Job #3 Company Address Previous Job #3 Immediate Supervisor Salary Range Per Hour Job Title Previous Responsibilities / Duties Reason for Leaving May we contact the employers listed above for an employment check? Have you given notice to your present employer? Is there any additional information relative to change in name necessary to check your work history? If yes, please explain Make any comments you feel are pertinent to your application Tell us what you can do for Ford’s (Ford’s Produce/Ford’s Gourmet Foods/ Mr. Fresh! hereafter referred to as Ford’s)
Employment Eligibility - Ford’s complies with all federal and state immigration laws and regulations and is committed to providing a workplace free from
discrimination, including any discrimination based on national origin or citizenship status. To comply with the federal Immigration
Reform and Control Act, all new hires must complete appropriate sections of the federal Department of Homeland Security's Form
I-9 and provide documents, which are listed on the form, that establish identity and employment eligibility. Employees who fail to
produce required documentation within three business days of the date employment begins are subject to termination.
Equal Employment Opportunity
Ford’s is committed to providing equal employment opportunity for all employees and applicants regardless of race, color, religion, sex, age, national origin, citizenship status, disability, genetic information, or veteran status. Equal opportunity extends to all aspects of the employment relationship, including hiring, promotions, training, working conditions, compensation, and benefits. In
all hiring and employment practices, Ford’s provides reasonable accommodations to qualified employees and applicants with disabilities unless the accommodations create an undue hardship for the company.
Questions for Applicants with a Driver License
Note: The majority of our employees are required to have a current driver license. The accident record and conviction record will be a determining factor in obtaining, as well as maintaining, employment with Ford’s. Should the accident/conviction record not meet the on-going standard established by our insurance carrier, employment will not be considered for applicants or continued for current employees. It is the responsibility of the employee to notify the company of any accidents involving motor vehicles as well as any traffic convictions. Failure to do so can result in loss of employment. If properly notified by the employee and an
available position is open that does not require a driver’s license, the employee may be considered for that position.
Current License Held: State License # Type Traffic Convictions Forfeitures for the Past 3 Years Location Charge Penalty Location Charge Penalty Location Charge Penalty Accident Record During Previous 3 Years: Nature of Accident (Head-On, Rear-end, etc.) Fatalities? Explain. (copy) Injuries? Explain? Accident #2 Record During Previous 3 Years: Nature of Accident (Head-On, Rear-end, etc.) #2 Fatalities? Explain. #2 Injuries? Explain? #2 Accident #3 Record During Previous 3 Years: Nature of Accident (Head-On, Rear-end, etc.) #3 Fatalities? Explain. #3 Injuries? Explain? #3 Driving Experience License Held Approximate Miles License Held Approximate Miles License Held Approximate Miles License Held Approximate Miles Have you ever been denied a license, permit or privilege to operate a motor vehicle? Has any license, permit or privilege ever been revoked? Have you ever been convicted of driving under the influence of alcohol or drugs? List all states you operated in during the last five years List all special courses and/or trainings you have successfully completed that will help you as a driver Have you received any safe driving awards? If yes, when and from whom did you receive the award? Consent, Authorization, and Acknowledgement Agreement
PLEASE READ CAREFULLY BEFORE SIGNING.
I understand, acknowledge, and provide my consent & authorization
Make any investigation and to obtain all lawful information which you deem necessary in connection with this application and to
circulate such information to the appropriate persons who consider this application. I request and authorize all references and
former employers to supply information about me verbally or in writing to you. In consideration for their furnishing such
information, I hereby waive any claims against them which may arise from their furnishing such information. I certify that the
information contained in this application is true, complete, and correct to the best of my knowledge and belief. I understand that
any falsification or omission of information may cause my immediate dismissal or rejection of this application. I agree that I may be
required to complete a medical exam for initial and continued employment. I further understand that in the event I am employed,
such employment is at will and I agree that, 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. Neither I nor the potential employer have agreed
on any specific period of employment nor any specific pay or benefits unless otherwise set forth in a separate contract.
Alternate Dispute Resolution
I agree to any claim or dispute between us, whether related to this application for employment or otherwise, including those
created by practice, common law, court decision, or statute, now existing or created later, including any related to allegations of
violations of state or federal statutes related to discrimination, and all disputes about the validity of the arbitration clause, shall be
exclusively resolved utilizing a two-step Alternate Dispute Resolution (ADR) process as follows: 1) First, through mediation
utilizing the Rules and Mediator provided by Dispute Systems, Inc., a neutral entity, or its successor; and 2) Failing settlement by
mediation, we agree that all claims and disputes, including those of jurisdiction and arbitrability, shall be resolved by neutral
binding arbitration conducted by the National Arbitration Forum (NAF), under the NAF Code of Procedure in effect at the time any
claim is made, the Dispute Resolution Policy and the Arbitration Rules of Dispute Systems, Inc., or its successor. Any award of the
arbitrator(s) may be entered as a judgment in any court of competent jurisdiction. In signing this Application, I am expressly
waiving any right to trial by jury or judicial appeal.
Sex Offender & Public Protection Program Compliance
Ford’s as a vendor of school systems, performs pre-employment criminal background checks on most positions within our
company. Annual criminal background checks are also required. In accordance with North Carolina G.S. 14-208.18, all persons
who (1) are required to register under the Sex Offender and Public Protection Program AND (2) have been convicted of any
sexually violent offense or any offense in which the victim was under the age of 16 years at the time of the offense are expressly
forbidden to knowingly be present on any property owned or operated by the school system. Felonies or misdemeanors involving
sex, drugs, or violence also apply.
You are indicating by your signature below that you understand the criminal background check requirements and have never been
convicted as outlined above. You also understand that it is your responsibility to notify the Personnel Manager immediately of any
convictions in the future if you are employed.
Drug & Alcohol Testing
I agree to allow Ford’s to collect urine samples from me to determine the presence of drugs or alcohol in my body. Further, I give
my consent to the release of my test results to authorized Ford’s management for appropriate review.
I understand that the results of the drug/alcohol testing of my urine, if positive, will remove me from consideration for employment.
I also understand that if I refuse to consent, I will be removed from further consideration for employment.
In addition to pre-employment testing, Ford’s will also conduct random, reasonable suspicion and post-accident drug and alcohol
testing during your employment. I understand that my compliance with all the guidelines of the Drug and Alcohol Policy of Ford’s
is required throughout any employment.
I agree not to use or disclose outside my employment with Ford’s, any confidential information, trade secrets, or proprietary
information, whatsoever its form, obtained in connection with my employment with Ford’s.
I agree to receive business related emails from Ford’s.