Career Application Form "*" indicates required fields Job Position*If you are interested in multiple positions or are not sure what positions you may qualify for, please enter “Any” in this field.Location Applying For* Illinois Farms Illinois Breaking Facility Indiana Farms Indiana Breaking Facility Indiana Retail Facility Indiana Foods Facility Ohio Breaking and Drying Facility Indiana Simple Transport (Class A CDL Required) Illinois Simple Transport (Class A CDL Required) Name* First Middle Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County of Residence*How did you hear about Wabash Valley or the position you are applying for?*Employee ReferralOnlineNewspaperRadioRehireName of Employee (if by referral) First Last Are you at least 16 years of age or older?* Yes No Are you at least 18 years of age or older?* Yes No Do you have a valid drivers license?* Yes No Are you authorized to work in the United States?* Yes No Emergency Contact* First Last Emergency Contact Phone*Marital Status* Single Married Spouse's Employer*Name of Spouse*Have you ever worked for Wabash Valley?* Yes No If Yes, When?* MM slash DD slash YYYY Date Available for Hire* MM slash DD slash YYYY Are you interested in full-time or part-time positions?* Full Time Part Time Either Which work shift are you interested in working?* Day Evening Either EducationHigh School NameHigh School Location City State / Province / Region Have you completed requirements for the following?* High School Diploma G.E.D. Neither Year Completed/Graduated*College, Trade or Grad SchoolCollege or Trade SchoolCollege or Trade School Location City State / Province / Region Years or Degree CompletedMilitary ServiceHave you ever been in an armed service?* Yes No Years of Service and Rank*Are you presently in the National Guard?* Yes No Special Skills / AbilitiesList any special skills you may have.(i.e. – welding, use of knives, typing, language, etc.)Work HistoryPlease list your previous employers, beginning with the most recent. If you have no prior work experience, please fill “N/A” for “Not Applicable.”Employer*Job Position*Time Frame*EmployerJob PositionTime FrameEmployerJob PositionTime FramePersonal ReferencesReference 1Reference 1 Name First Last Reference 1 RelationshipReference 1 PhoneReference 2Reference 2 Name First Last Reference 2 RelationshipReference 2 PhoneDisclaimer and AgreementIT IS UNDERSTOOD AND AGREED UPON THAT ANY MISREPRESENTATION BY ME ON THIS APPLICATION WILL BE SUFFICIENT CAUSE FOR CANCELLATION OF THIS APPLICATION AND/OR SEPARATION FROM THE EMPLOYER’S SERVICE IF I HAVE BEEN EMPLOYED. I GIVE THE EMPLOYER THE RIGHT TO INVESTIGATE ALL REFERENCES AND TO SECURE ADDITIONAL INFORMATION ABOUT ME, IF JOB-RELATED. I HEREBY RELEASE FROM LIABILITY THE EMPLOYER AND ITS REPRESENTATIVES FOR SEEKING SUCH INFORMATION AND ALL OTHER PERSONS, CORPORATIONS OR ORGANIZATIONS FOR FURNISHING SUCH INFORMATION. WABASH VALLEY IS AN EQUAL OPPORTUNITY EMPLOYER. WABASH VALLEY DOES NOT DISCRIMINATE IN EMPLOYMENT AND NO QUESTIONS ON THIS APPLICATION ARE USED FOR THE PURPOSE OF LIMITING OR EXCUSING ANY APPLICANT’S CONSIDERATION FOR EMPLOYMENT ON A BASIS PROHIBITED BY LOCAL, STATE OR FEDERAL LAW. I UNDERSTAND IT IS THE COMPANY’S POLICY NOT TO REFUSE TO HIRE A QUALIFIED INDIVIDUAL WITH A DISABILITY BECAUSE OF THIS PERSON’S NEED FOR AN ACCOMMODATION THAT WOULD BE REQUIRED BY THE ADA. Do you agree with the terms above?* Yes No Submit Your ApplicationResumeAccepted file types: doc, docx, pdf, jpg, Max. file size: 10 MB.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
