Application - Dakota Refrigeration Inc.

Employment Application

Full Name*

Please enter you first and last name.

Date*

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Available*

Desired Salary*

Position Applied For*

Are you a citizen of the United States*

Yes
No

If No, are you authorized to work in the U.S.?*

Yes
No

Have you ever worked for this company?*

Yes
No

If Yes, when?*

Have you ever been convicted of a Felony*

Yes
No

Explain*

How Did You Hear About This Position*

Education

High School*

Address*

From*

To*

Did You Graduate?*

Yes
No

College

Address

From

To

Did You Graduate?

Yes
No

Degree

Other

Address

From

To

Did You Graduate?

Yes
No

Degree

References

Please List Three Professional References

Previous Employment

Company*

Phone*

Address*

Supervisor*

Job Title*

Starting Salary*

Ending Salary*

Responsibilities*

From*

To*

Reason For Leaving*

May we contact your previous supervisor for reference?*

Yes
No

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason For Leaving

May we contact your previous supervisor for reference?

Yes
No

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason For Leaving

May we contact your previous supervisor for reference?

Yes
No

Resume

You May Upload Your Resume Here

File

Max. file size: 8 MB.

Background Check Consent

If asked, are you willing to consent to a background check?*

Yes
No

Driver's License #*

State*

Skills/Essential Functions

Please list any special certifications, skills, or training you feel would help you in the position you are applying for.

Have you viewed a copy of the job description listing the essential functions of the job?*

Yes
No

Can you perform the essential functions of the job with or without reasonable accommodations?*

Yes
No

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize Dakota Refrigeration, Inc. to make any investigation of any facts set forth in this application and release the employer from any liability. I understand that Dakota Refrigeration, Inc. is an "at will" employer. Therefore, and employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.*

Date*

It is our company policy to comply with all state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability, or other protected classifications.

Dakota Refrigeration, Inc.

Employment Application

Education

References

Previous Employment

Resume

Background Check Consent

Skills/Essential Functions

Disclaimer and Signature

Fargo Location

Bismarck Location

Minot Location