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We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.


PERSONAL INFORMATION

Name (Last, First, Middle Initial)
Street Address
City, State, Zip Code
Home Phone Number Cell Phone Number
Email Address Type Of Employment Desired Are you at least 18 years of age?
Child labor laws prohibit employment of individuals
under the age of 18 in certain occupations
Have you ever filed an application with us before? If Yes, give date
Have you ever been employed with us before? If Yes, give date
Position Desired Salary Desired
Do you have any friends or relatives working at Hitch Doc?
If yes, please give their name and relationship to you:
How did you learn about this position (online, newspaper, referral, etc.):
On what date would you be available for work? Are you eligible to work in the United States?
(If offered employment, you will be required to provide documentation to verify eligibility.)
Can you travel if a job requires it?:

EDUCATION/SKILLS Please list all education beginning with most recent.

  Name & Location of School # of yrs. Complete Graduated Degree &/or Major
High School/GED
College
Graduate School
Trade School/Other

REFERENCES Provide the names of three persons not related to you whom you have known at least one year.

Name Address Business Years Acquainted Phone May We Contact Them?

EMPLOYMENT HISTORY List your three most recent jobs, starting with the most current position held. List self-employment, summer, and part-time jobs.

Dates Employed (month/year) Position Title
From: To:
Salary Organization Name/Address
Start: Final:
I was paid:
Employment Type:
Hours worked per week:
May we contact this employer Supervisor's Name/Title/Phone
Reason for leaving:
Please explain your reason for leaving
Duties:
Dates Employed (month/year) Position Title
From: To:
Salary Organization Name/Address
Start: Final:
I was paid:
Employment Type:
Hours worked per week:
May we contact this employer Supervisor's Name/Title/Phone
Reason for leaving:
Please explain your reason for leaving
Duties:
Dates Employed (month/year) Position Title
From: To:
Salary Organization Name/Address
Start: Final:
I was paid:
Employment Type:
Hours worked per week:
May we contact this employer Supervisor's Name/Title/Phone
Reason for leaving:
Please explain your reason for leaving
Duties:
Dates Employed (month/year) Position Title
From: To:
Salary Organization Name/Address
Start: Final:
I was paid:
Employment Type:
Hours worked per week:
May we contact this employer Supervisor's Name/Title/Phone
Reason for leaving:
Please explain your reason for leaving
Duties:
Authorization

I understand that employment with HitchDoc is at-will, meaning that I or the Organization may terminate my employment at any time, or for any reason consistent with applicable state or federal law.

I authorize the Organization to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Organization, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.

I understand that the Organization requires the successful completion of a drug and/or alcohol test as a condition of employment.

I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.
Digital Signature:
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1-800-446-8222 | 507-847-4049
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HitchDoc | 131 County Rd 34 E | Jackson, MN 56143
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