APPLICATION

HUMAN RESOURCES DEPARTMENT

Human Resources Email or 320-746-4263

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone
Mobile/Work Phone
Email*
Position(s) applied for*
Date of Application*
Referral Source (Please check the appropriate category and name the source.)*
- Employee
- Staffing Agency
- Company Website
- Other
Name and Source*
If necessary, best time to call you at home is*
May we contact you at work?*
- Yes
- No
If yes, work number and best time to call:*
If you are under 18 and it is required, can you furnish a work permit?*
- Yes
- No
If no, please explain*
Have you submitted an application here before?*
- Yes
- No
If yes, give date(s) & position(s)*
Have you ever been employed here before?*
- Yes
- No
If yes, give dates:*
Are you legally eligible to work in this country?*
- Yes
- No
Date available for work*
What is your desired salary range or hourly rate of pay?*
$______ Per
Type of employment desired:*
- Full-Time
- Part-Time
- Temporary
Will you travel if the job requires it?*
- Yes
- No
If they have been explained to you, are you able to meet the attendance requirements for the position?*
- Yes
- No
- N/A
Will you work overtime if required?*
- Yes
- No
If no, please explain*
Have you ever been bonded?*
- Yes
- No

School (Include City & State)	Years Completed	Degree/Certification Acquired	GPA/Class Rank	Major/Minor

Name	Title	Relationship	Telephone	Number of Years Known

Employment History

$______	Per

Organization	Offices Held