Personal Data





Social Security Number*:

 

Employment Information
Have you ever filed an application here before?*YesNo

Have you ever worked for this company?*YesNo

When can you start to work if employed?*
Are you legally eligible to work in the United States? (Proof of eligibility will be required upon offer of employment)*YesNo
Are you at least 18 years of age? (If not, authorization may be required)*YesNo
Are you currently employed?*YesNo

What position(s) are you seeking?*

What skills/qualifications do you have that can apply if you are employed here?*

Are you able to meet the attendance requirements of the position?*YesNo
Are you able to work any or all days and any or all shifts?*YesNo

 

Education
Elementary School

From: To:

High School

From: To:

Business School

From: To:

College

From: To:
What degrees do you hold if graduated from college?

Are you studying at present?YesNo

Other (Trade, Vocational, Correspondence)

From: To:

 

Past Employment

(Begin with most current employer. List all employers in last seven years. Do not exclude any employment. Include any applicable temporary employment. Attach another sheet if necessary.)

Current or Most Recent Employer:



From: To:





May we contact?YesNo

Employer #2:



From: To:





May we contact?YesNo

Employer #3:



From: To:





May we contact?YesNo

 

Military Service
Dates of Military Service
From: To:




Please provide any additional information you feel will help us in considering your application for employment.

 

Upload Your Resume

 

PLEASE READ CAREFULLY BEFORE SUBMITTING

I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to the Company and/or any of its representatives, agents or vendors.

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I further agree that any false statements or incomplete answers will disqualify me for employment or, if hired, cause my subsequent dismissal upon learning of such false or incomplete answers, regardless of the timing or circumstances of discovery.

I understand that CHS Acquisition Corp. is an at-will employer, subject to the terms of any applicable collective bargaining agreement, and I understand that no person may make any oral offers of employment inconsistent with at-will employment. I understand that acceptance does not bind either party to a specific period of employment.

I agree to abide by all Company rules and regulations. I understand that due to the nature of the Company’s business, attendance and punctuality are considered essential requirements of every job at the Company and that poor attendance or tardiness will result in disciplinary action.

I understand that my Application will remain active for a period of no more than 30 days from the date of application. After that period of time I will no longer be considered for employment.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

CHS ACQUISITION CORP. IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY LAW.