Osage City Employment Application Please enable JavaScript in your browser to complete this form. - Step 1 of 2Full Name *FirstLastEmail *Phone Number *Are you 21 years or older? *YesNoAre you willing to work night and/or weekend hours if required? *YesNoExpected Salary? *May we contact your current employer? *YesNoMay we contact your past employer? *YesNoHave you had any sales related work? Explain.Do you have any truck driving experiences? Explain.Do you have skills operating forklifts or other machinery or equipment? Explain.Do you have experience working in a warehouse facility? Explain.Do you have truck loading / unloading experience? Explain.Can you lift 50 lbs. repetitively? *YesNoAre you able to move products weighing up to 165lbs.?YesNoIf offered the job, would you be willing to take a physical exam at our expense? *YesNoHave you ever been convicted of any alcohol or drug related traffic violations? Explain. *Do you currently have a driver's license? *YesNoDo you currently have a CDL license? *YesNoIf yes, please list the License Number and Expiration Date:Have you ever been convicted of a crime? Explain. *List all traffic violations within the past five years: *During the past two years have you tested positive or refused to test on any pre-employment drug and alcohol test administered by an employer that you applied to, but did not obtain, safety-sensitive transportation work covered by DOT drug and alcohol testing rules? *YesNoMicrosoft Excel Skill LevelNo ExperienceSome ExperienceExperiencedMicrosoft Word Skill LevelNo ExperienceSome ExperienceExperiencedMicrosoft Outlook Skill LevelNo ExperienceSome ExperienceExperiencedMicrosoft Power Point ExperienceNo ExperienceSome ExperienceExperiencedNextRecord of EducationHigh School Education *School, City, State/Zip, Graduation YearCollege Education *School, City, State/Zip, Degree(s), Graduation YearRecord of EmploymentRecord of Employment 1 *Place of Employment, Address, Number, Years Employed, Position Held, Job Duties, Name of Supervisor, Supervisor's Number, Gross Income Earned, Hours Worked, Reason for LeavingRecord of Employment 2 *Place of Employment, Address, Number, Years Employed, Position Held, Job Duties, Name of Supervisor, Supervisor's Number, Gross Income Earned, Hours Worked, Reason for LeavingRecord of Employment 3 *Place of Employment, Address, Number, Years Employed, Position Held, Job Duties, Name of Supervisor, Supervisor's Number, Gross Income Earned, Hours Worked, Reason for LeavingReferencesReference 1 *Please include their Name, Number, Relationship and Company.Reference 2 *Please include their Name, Number, Relationship and Company.Reference 3 *Please include their Name, Number, Relationship and Company.How did you hear about this job?Social Network (Facebook, Twitter, etc.)Current FHB EmployeePast FHB EmployeeIndependent Internet SearchJob Site (LinkedIn, Indeed etc.)FHB WebsiteResume Upload * Click or drag a file to this area to upload. Cover Letter Upload Click or drag a file to this area to upload. I understand that if I am offered the job, it will be contingent upon passing a physical examination with questionnaire. I also understand that any false or misleading statements on the pre-employment physical questionnaire may be cause for dismissal. I hereby consent to submit to a background investigation, physical examination, and drug screening test if such is applicable to the position for which I may be considered. I understand that I may be subject to periodic examinations if I am hired. I also agree that all former employers or any other persons may furnish Flint Hills Beverage, LLC with all information regarding their record of my services, character and reason for leaving. I hereby release such former employers and persons from all liability on account of providing such information. By my signature, I certify that I am of legal working age to be employed by your company, and that I am eligible to work in the United States under current immigration laws, and that I have not omitted any information relative to the proceeding questions. I understand that, if hired, I will be required to authorize the release of my Motor Vehicle Driving Record (MVR) to the company to certify your driving record is adequate for coverage as a driver of our company vehicles. *Clear SignatureSignature of ApplicantEmailSubmit