Thank you for your interest in employment with Flexible Ag Staffing

Flexible Ag Staffing is an Equal Employment Opportunity employer and it is our policy to consider all applicants for employment without regard to sex, race, color, creed, religion, national origin, sexual orientation, marital status, age, disability, veteran status, alienage, ancestry, citizenship status, or any other factors prohibited by law.

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General Information

Social Security Number: (9 Digit Number Only)
* First Name: Middle Initial: * Last Name:
Nick Name:
* Address 1:
Address 2:
* City: * State: * Zip Code:
* Phone:
Mobile: Mobile Provider:
By completing cell carrier information you acknowledge that you may incur text charges depending on your individual cell plan.
Emergency Number: Contact Person:
* Email:
If you do not have an Email address please use "your phone number"@flexibleagstaffing.com
If you have a copy of your resume or cover letter in Word format please attach them below.
Placement Type:
Shifts: Days Evenings Nights Weekends (Check all that apply)
Salary: $
When are you available?
How do you want us to contact you?
Please tell us where you heard about us?
Have you ever worked for Flexible Ag Staffing before? Yes No
Are you a U.S. Citizen or legally eligible for employment in the U.S.? Yes No (Proof of Citizenship or eligibility is required upon employment in keeping with IRCA.)
* Have you ever been convicted of a felony, any type of theft, fraud or violent crime? Yes No
If yes, please explain conviction, when, where and disposition:
Conviction of a crime will not automaticaly disqualify you from consideration for employment, but will be considered as part of an overall evaluation of your qualifications.

CDL Licensing
CDL Class State Issued By Expiration Date CDL Number
Do you have at least 2 years of verifiable drive experience within the last 3 years? Yes No
CDL Endorsements:
Class A Class B Class C Van
Reefer Straight Truck Dump Truck Flatbed
Doubles Tanker

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