Employment Application – Country Village Meats

+1 815-849-5532
service@countryvillagemeats.com
Store Hours: Mon - Fri 8am - 5pm | Saturday: 8am-12pm | Sunday: Closed

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Home
About Us
Products
Meat Bundles
Custom Processing
Find Us
CVM Blog
Online Order Form
Join Our Team

Employment Application

Position Applying For:*
Date Available:*
MM slash DD slash YYYY
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Business Phone
Mobile Phone
Are you 18 years of age or older? (If not, you may be required to provide work authorization.)*
- Yes
- No
If hired, can you provide verification of your legal right to work in the United States?*
- Yes
- No
Can you perform the essential functions of the job for which you are applying, with or without reasonable accommodation?*
- Yes
- No
Employment Information
List available days/hours:*
Preferred Job Status:*
- Full time
- Part Time
- Seasonal
- As needed
Education & Training
High School or GED Information:
College Information:
Graduate School Information:
Technical or Vocational School Information:
Describe any non-employment experience such as school or volunteer activities that might strengthen your application:
Certifications
Employment History
List all previous employment during the past seven years starting with the Employment History most recent. Use additional sheets if needed.
Employer 1*
Employer 1 Telephone*
Employer 1 Dates employed:*
Employer 1 Address:*
Employer 1 Job Title:*
Employer 1 Immediate Supervisor and Title:*
Employer 1, Summarize the nature of the work performed and job responsibilities.*
Employer 1, Reason for Leaving*
Employer 1, May we contact this employer?*
- Yes
- No
Employer 2
Employer 2
Employer 2 Telephone
Employer 2 Dates employed:
Employer 2 Immediate Supervisor and Title:
Employer 2 Address:
Employer 2, Summarize the nature of the work performed and job responsibilities.
Employer 2, Reason for Leaving
Employer 2, May we contact this employer?
- Yes
- No
Employer 3
Employer 3
Employer 3 Telephone
Employer 3 Dates employed:
Employer 3 Immediate Supervisor and Title:
Employer 3 Address:
Employer 3, Summarize the nature of the work performed and job responsibilities.
Employer 3, Reason for Leaving
Employer 3, May we contact this employer?
- Yes
- No
Please explain any gaps in your employment history.
What other business experience, personal experience or training have you had that may have prepared you for this position?
Personal Reference 1
Reference 1 Name:*
Reference 1 Occupation:*
Reference 1 Years Known:*
Reference 1 Years Address, City, State and Zip.*
Reference 1 Email:*
Reference 1 Phone:*
Reference 1 Alternate Phone:*
Personal Reference 2
Reference 2 Name:*
Reference 2 Occupation:*
Reference 2 Years Known:*
Reference 2 Years Address, City, State and Zip.*
Reference 2 Email:*
Reference 2 Phone:*
Reference 2 Alternate Phone:*
Personal Reference 3
Reference 3 Name:
Reference 3 Occupation:
Reference 3 Years Known:
Reference 3 Years Address, City, State and Zip.
Reference 3 Email:
Reference 3 Phone:
Reference 3 Alternate Phone:
Application Acknowledgement and Authorization*
I agree to the following:

Contact Information

401 N. Pennsylvania Ave.
Sublette, IL 61367
1.815.849.5532
service@countryvillagemeats.com

Country-Village-Meats

Sublette, Illinois

Hours

Store Hours: Mon – Fri 8am – 5pm | Saturday: 8am-12pm, Sunday: Closed

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