Online Application - Rutter's - Why Go Anywhere Else?

Rutter’s Dairy, an Equal Opportunity Employer, considers all positions without discrimination as to race, color, age (over 40), sex, national origin, non job-related disability, religion or any other legally protected characteristic. Any offer of employment is contingent on the successful completion of a urine test for illegal drugs. Offers will be rescinded in the event of a positive result. Please answer all questions completely. Your application will be considered active for 90 days.

Required fields are marked with an asterisk (*)

Personal
First Name*	M.I.*	Last Name*

Present Address:
Street*	City*	State*	Zip*

Telephone Number*	E-mail Address*
Cell Number
For what position are you applying? *	Other:

If hired, when would you be available:*

Shifts Available:*
Weekday	Weekend	Day	Night	Evening
Any	Full-time	Part-time

Rate of Pay Expected:* $ per week $ per hour
Referral Source?
Ad	Friend	Relative	Walk-in	Agency
Other:
Are you at least 18 years of age?* Yes No If not, state your age:
Were you previously employed by us?* Yes No If yes, dates to . Under what name?
List any friends or relatives working for us:

Are you a U.S. citizen or national, an alien lawfully admitted to permanent residence or an alien authorized to work in the U.S.?* Yes No
Have you ever been convicted of a crime other than a routine traffic violation including misdemeanors?* Yes No If yes, date of conviction:
Please explain:

Education

Type of School	Name of School	Major	Highest Grade Completed	Graduated
Elementary
High School
College/Tech
Other
What further training or special courses have you had since leaving school?

Work Experience

List all positions, starting with your present or most recent job, including all periods of unemployment and reasons.

1.	Employer*			Address*
	City*	State*	Zip*	Phone*
	Date Hired *			Position*
	Date Separated			Reason

2.	Employer			Address
	City	State	Zip	Phone
	Date Hired			Position
	Date Separated			Reason

3	Employer			Address
	City	State	Zip	Phone
	Date Hired			Position
	Date Separated			Reason

Were you ever discharged by any company? * Yes No
If yes, give name of company and reason:

Personal References *

Give the names of 3 persons not related to you whom you have known at least 1 year. Do not include previous employers.

1.	Name			Address
	City	State	Zip	Phone
	Occupation			Years Acquainted

2.	Name			Address
	City	State	Zip	Phone
	Occupation			Years Acquainted

3.	Name			Address
	City	State	Zip	Phone
	Occupation			Years Acquainted

APPLICANT’S CERTIFICATION AND AGREEMENT – PLEASE READ CAREFULLY

I certify that answers given herein are true and complete to the best of my knowledge. I understand that any false or misleading statements or omissions on this application or interview(s) may prevent my employment, or if employed, result in discharge. I agree to undergo a medical examination by a physician selected by the Company, following receipt of an offer of employment or at any time during employment.

If, following submission of this application I wish at any time to change or limit my availability to start work, I must notify Rutter’s in writing. I recognize these changes could result in loss of employment with Rutter’s.

I hereby authorize former and present employers, physicians, credit rating bureaus, police record inquiries or others to give or verify any information they may have, personal or otherwise, and release all parties from liability for any damage resulting therefrom. I understand and agree, that if hired, that I am required to abide by all rules and regulations of the Company, and that my employment is for no definite period, that wages, benefits and conditions can be changed at any time, and my employment may be terminated at will at any time.

By checking this box you are certifying this application and agreeing to the above terms *