General Application

This application must be completed in it's entirety before it will be accepted. Other forms of application are not acceptable.

The questions found in this form are being asked to properly evaluate your ability and chance for success in the position for which you are applying. Every effort has been made to comply with applicable Federal Law and laws of our state. It is not our intent to discriminate in employment on account of race, color, sex, ancestry, religion, age national origin, handicap, sexual preference, gender identity, disability and marital status or Vietnam era veteran status.

This is to inform you that as part of our procedures for processing your application, we may use Information Resources, an independent outside agency.

You will be required to complete an I-9 application

(Hire is subject to verification that you are minimum legal age)

We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.

List High School and all colleges, universities, graduate schools, trade, business or correspondence schools attended giving your most recent education first.

Please list any special skills or abilities as a result of service in the military:

List below all present and past employers for the last 10 years, starting with the most recent employer. Account for all periods of unemployment.

List below three persons not related to you who have knowledge of your work performance within the last three years.

I, the undersigned, understand that I am being considered as a potential employee of Ag Data Services, Inc. (The “Company”), and hereby certify that:

1. I understand that if I am hired, such hiring will not be for any definite period of time. Even though, if hired, I maybe paid my wages on a monthly, semi-monthly, weekly or hourly basis, I understand that this does not mean I am being hired for a definite period of time.
2. I understand that if hired, I will be an employee at-will and I can be terminated at any time, with or without cause, with or without notice.
3. I understand that this agreement cannot be changed except in a written document signed by me and the company president.
4. I have been given an opportunity to ask questions regarding company rules and my potential status as an employee-at-will. No representative of Ag Data Services, Inc. has made any promises or other statements to me which imply that I will be employed under any other terms than stated above.
5. I understand that if hired, this statement is part of the employment agreement between the company and me, and will be binding on me.
I certify that the information contained in this application is correct to the best of my knowledge and understand that any misrepresentation or omission of information requested on this form is grounds for immediate dismissal. I understand that weekend work, overtime, changes of schedule and location maybe required during my employment. Further, I understand that 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 without any previous notice, with or without cause. In consideration of my employment, I agree to conform to all rules, regulations and policies of this company. No modification of these statements shall be valid unless written and signed by the company president.

I hereby certify that I have not knowingly withheld any information that might adversely affect my opportunity for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I hereby agree to submit to binding arbitration all disputes and claims arising out of the submission of this application. I further agree, in the event that I am hired by the company, that all disputes that cannot be resolved by informal internal resolution which might arise out of my employment with the company, whether during or after that employment, will be submitted to binding arbitration. I agree that such arbitration shall be conducted under the rules of the American Arbitration Association. This application contains the entire agreement between the parties with regard to dispute resolution, and there are no other agreements as to dispute resolution, either oral or written.

I understand that nothing contained in the application, or conveyed during any interview, which may be granted, or during my employment, if hired, is intended to create an employment contract between the company and me. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company’s designated representative.

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