Ellsworth Cooperative Creamery & Subsidiaries Application for Employment

Locations including Ellsworth, Comstock, Menomonie and New London

Thank you for your interest in our company. We appreciate your completing our application. If you have a resume, please attach it to this document or submit as a separate document.

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, sexual orientation, national origin, age, disability, marital status, veteran or military status, color, ancestry, genetic information, or any other category protected by applicable federal, state, or local laws.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to Human Resources at the location for which you are applying for a job.

Using a separate section for each position, please describe in detail all work experience. You may include as part of your employment history any verifiable work performed on a volunteer basis. Resumes may not be substituted in lieu of completing the following employment information but can be used to supplement this form.

Please list three professional references whom we may contact. Individuals with no prior work experience may list school or volunteer-related references.

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside.

I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement, and/or an agreement to arbitrate.

I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.

I authorize Ellsworth Cooperative Creamery or its agents to confirm all statements contained in this application and/or résumé as it relates to the position I am seeking and to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation.

I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to Ellsworth Cooperative Creamery or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have because of the delivery or disclosure of the above requested information. I hereby release from liability Ellsworth Cooperative Creamery and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information.

If hired by Ellsworth Cooperative Creamery, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company. I also understand Ellsworth Cooperative Creamery employs only individuals who are legally eligible to work in the United States.

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.

I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE.

I consent to the use of my electronic signature to certify the same.

To comply with reporting requirements under federal, state and/or local law, we ask you to complete this voluntary survey. The information you are asked to give will be used solely for the purposes of compliance with legal requirements. It is Company policy that all hires, terminations, promotions, training, assignments, and other decisions about the terms, and conditions of employment are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetic characteristics, physical or mental disability, veteran status, or any other status protected by federal, state, or local law. The information provided on this form will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations. This form will be stored in a separate location from your applicant or employment file. Providing information about your race, ethnicity, or sex is voluntary. Refusal to supply the information will not subject you to any adverse treatment. Do not hesitate to ask for assistance if you have any difficulty completing this form. Thank you for your cooperation.