Job Application - Western Dubuque Biodiesel | Good for Iowa, America, and the World

Job Application

To be considered for a position with Western Dubuque Biodiesel, please complete the application below.

* denotes a required field.
Personal Information
Full Name: *
Last, First Middle  
Present Address: *
Permanent Address: *
Phone Number: *
Other phone number where you can be reached: *
Email Address: *
Are you 18 years or older?: *
Employment Desired
Position: *
Shift Preferences: *
I'm available to work: *
 
Date you can start: *
In mm/dd/yyyy format
Are there any hours, shifts or days you cannot work?: *
How did you hear about us?: *
If 'Current Employee' or 'Other' was selected, please specify:  
Are you legally able to work in the United States?: *
(proof of eligibility will be required upon offer of employment)  
Have you been convicted of a felony, or convicted in a general court - martial?: *
(A conviction record will not necessarily be a bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account).  
If yes, please give date and explain:  
Education & Skills
Check the highest level or equivalent completed: *
Area(s) of Study: *
Degree(s) Received: *
Additional Qualifications: *
List any additional trainings, certificates, skills, abilities or information not in your work history, but would be useful in evaluating your qualifications. Please include machines you operate (computer terminals, press, etc...).  
Employment History and/or Military Experience

(Start with current or most recent employer)

**APPLICATION WILL NOT BE VALID UNLESS EMPLOYMENT HISTORY IS COMPLETE**

Company Name: *
City / State: *
Supervisor: *
Phone: *
May we contact?: *
Employment Dates: *
Position: *
Salary: *
Reason for Leaving: *
Duties: *

Company Name: *
City / State: *
Supervisor: *
Phone Number: *
May we contact?: *
Employment Dates: *
Position: *
Salary: *
Reason for Leaving: *
Duties: *

Company Name: *
City / State: *
Supervisor: *
Phone Number: *
May we contact?: *
Employment Dates: *
Position: *
Salary: *
Reason for Leaving: *
Duties: *
References

(Business or Personal)

Name: *
Phone Number: *
Address: *

Name: *
Phone Number: *
Address: *

Name: *
Phone Number: *
Address: *
Conditions of Employment with Western Dubuque Biodiesel
Requirements
Western Dubuque Biodiesel sets high standards for its employees, and compliance with these standards is a condition of employment. If you are offered a position with WDB, you need to carefully consider what we would require of you before you accept. As an employee, you must do everything you can to make our external and internal customers feel like customers, including: Arriving on time Maintaining a positive, enthusiastic attitude Treating co-workers with respect Being honest and dedicated to your work Completing necessary training requirements Following the companies policies and procedures Following directions Meeting standards of work quality and quantity Maintaining a professional appearance Accepting a work schedule that may require holiday work Submit to random alcohol or drug screenings Pre-employment physical
Are you willing and able to comply with all the requirements listed?: *
If your answer is no, or if you have concerns about being able to comply with any of these requirements, please explain:  
Compliance
In order to comply with various legal requirements, it is necessary for the following statements to appear on this application. Please read these statements carefully before affixing your signature. Western Dubuque Biodiesel is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other status protected under local, state or federal laws. I declare and affirm under penalty perjury that I am eligible to be employed in the United States. If employed by Western Dubuque Biodiesel, I understand and agree that the employment relationship will not be for any specific period and may be terminated at the will of either myself or the Company. I understand that as a condition of employment, I may be required to submit to a pre-employment drug/alcohol test for the illegal use of alcohol and controlled substances. I authorize Western Dubuque Biodiesel to investigate all statements in this application and to contact all employers and references. I understand that false or misleading statements in this application will be sufficient cause for termination of consideration or for dismissal if already employed.
Agreement
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have and release all parties from all liability for any damage that may result from this. I understand this application is not an implied or expressed contract of employment and 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 with or without prior notice and with or without cause. I acknowledge that I have read and understand the above statement".
Signature: *
Date: *
In mm/dd/yyyy format
© 2017 Western Dubuque Biodiesel, LLC. All Rights Reserved.