Apply Now All qualified applicants will be considered for employment without regard to age, race, color, sex, religion, national origin, marital status, ancestry, citizenship, veteran status, sexual orientation or preference, or physical or mental disability. Stillwater Milling Company is an Equal Opportunity Employer. Application is in response to: Advertisement Employment Agency Employee Referral Recruitment Unsolicited Other Attention Applicant All sections of this application must be completed in full or it will not be considered. Resumes may be attached to this application but do not substitute for a completed application. Read each paragraph carefully and initial before signing. I state that the information provided in this employment application (and accompanying resume, if any) is true and complete. I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for my dismissal from employment, if discovered at a later date. I agree to immediately notify the company if I should be convicted of a felony, any crime involving dishonesty, or a breach of trust while my application is pending or, if hired, during my period of employment. Initial I understand that any job offer is conditional on the completion of a drug screen and/or physical examination. I consent to release any and all medical information as may be deemed necessary by the company, for use in judging my capability to do the work for which I am applying. Initial I authorize Stillwater Milling Company to inquire into my educational, professional, and past employment history references as needed to research my qualifications for the position I am applying. I also hereby authorize any person, school, current employer, and organizations named in this application form to provide the company with relevant information and opinions that may be useful to the company in making a hiring decision. Initial If employed, I understand that I will be required to provide original documents that verify my identity and right to work in the United States under the immigration Reform and Control Act (IRCA) of 1986. The documents provided will be used for the completion of Form I-9. Initial I understand that this application does not, by itself, create a contract of employment. The relationship between the company and it's employees is "at will". This means that an employee is free to resign from employment with the company at any time, for any reason. Similarly, the company is free to conclude the employment relationship at any time, for any reason, or no reason, and with or without notice. Initial First Name Middle Initial Last Name Give any other name under which you might be known by a previous employer or reference if it is different from your present name: Street Address 1 Street Address 2 City State Zip Telephone For what position(s) are you applying? Select a position Customer Service / Stock Clerk - Customer Service / Stock Clerk - Which type of employment are you seeking? Full-Time Part-Time Were you given a job description to read for this position? Yes No Note to applicants: Do not answer this question unless you have read a job description or were informed of the requirements of the job for which you are applying: Are you capable of performing, in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? Yes No List any friends or relatives employed by Stillwater Milling Company. Are you 18 years of age or older? Yes No If currently employed, may we contact your present employer? Yes No On what date would you be available for work? Have you worked for us before? Yes No If yes, please provide the date and position. Date Position If hired, will you work overtime if required? Yes No Will you travel if the job requires it? Yes No If the job requires it, do you have the appropriate, valid driver's license? Yes No Employment Experience Begin with your present or most recent job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin or other protected status. Employer Phone From To Address City State Zip Type of Business Position Supervisor's Name Duties performed Reason for Leaving Education Check all that apply. High School GED Vocational/Technical College Masters Doctorate High School School Name City State Years Completed 1 2 3 4 Was Diploma/Degree earned? Yes No GED School Name City State Years Completed Was Diploma/Degree earned? Yes No Vocational/Technical School Name City State Years Completed 1 2 3 4 Was Diploma/Degree earned? Yes No College School Name City State Years Completed 1 2 3 4 Was Diploma/Degree earned? Yes No Masters School Name City State Years Completed Was Diploma/Degree earned? Yes No Doctorate School Name City State Years Completed Was Diploma/Degree earned? Yes No Describe course of study: Describe any certification you have, specialized training you have, or apprenticeship you have served: List any business machines, computers/software, equipment or machinery that you can operate: State any additional information you feel may be helpful to us in considering your application (seminars or short courses attended): Military Service Branch of Service From To Rank & Duties Date Discharged Have you had any job-related training in the United States military? Yes No If yes, please describe: Personal/Professional References (Do not include family members or past supervisors.) Reference 1 Name Phone Number Best time to call Occupation Reference 2 Name Phone Number Best time to call Occupation Reference 3 Name Phone Number Best time to call Occupation ATTENTION: Student Part-time Applicants Please indicate hours you would be available for work and attach a copy of your school schedule. Additional Notes Back Next