Quality Pork Processors Inc.
711 Hormel Century Parkway
Austin, MN 55912
Telephone: (507) 434-6300

Application for Employment

To Applicant: We appreciate your interest in Quality Pork Processors, Inc. and are sincerely interested in your qualitifications for employment with us. Consequently, the information and statements made on this application are important and we intend to check them and hold you responsible for them. You must print out this application form and mail it to Quality Pork Processors at the address above. Our company is an equal opportunity employer and does not discriminate due to race, color, creed, religion, sex, sexual or affectional preference, age, national origin, marital status, qualified individuals with disabilities, or veteran status.

Please print your answers to all sections.

Date of Application

PERSONAL

Name	Social Security Number
Present Address	Telephone Number Alternate Message Number Best Time of Day to Reach You
How did you learn of this position?

Are you a U.S. citizen or alien authorized to work in the United States?      Yes        No

Federal law requires that employers confirm that its employees have a right to work in the United States. All employment offers are conditional upon prompt production of documentation establishing identity and employment authorization.

Have you ever been convicted of a felony?      Yes        No

If so, state conviction, year of conviction, and state/country in which conviction occured:

Have you served in the U.S. Armed Forces?      Yes        No

Are you less than 18 years old?      Yes        No

WORK INFORMATION
Position Applied For

Date Available for Work

Rate of Pay Expected

Are there any experiences, skills, qualifications, or training which you feel would especially qualify you for work with our Company?

RECORD OF EDUCATION

School	Name & Address	Course of Study	Last Year Completed	List Degree or Diploma
Elementary
Secondary
Post Secondary
Other (specify)

EMPLOYMENT EXPERIENCE

List below all present and past employment eginning with your most recent.

COMPLETE ALL INFORMATION

Name of Employer	Telephone Number
Address	Starting Compensation Final Compensation How Long Employed

Starting Position

Position on Date of Leaving

Name and Title of Immediate Supervisor

Reason for Leaving

May we Contact? Yes No

Name of Employer	Telephone Number
Address	Starting Compensation Final Compensation How Long Employed

Starting Position

Position on Date of Leaving

Name and Title of Immediate Supervisor

Reason for Leaving

May we Contact? Yes No

Name of Employer	Telephone Number
Address	Starting Compensation Final Compensation How Long Employed

Starting Position

Position on Date of Leaving

Name and Title of Immediate Supervisor

Reason for Leaving

May we Contact? Yes No

Name of Employer	Telephone Number
Address	Starting Compensation Final Compensation How Long Employed

Starting Position

Position on Date of Leaving

Name and Title of Immediate Supervisor

Reason for Leaving

May we Contact? Yes No

PERSONAL REFERENCES
(not former employers or relatives)

Name and Occupation	Address	Phone Number

In consideration of Quality Pork Processors, Inc.'s consideration of my employment application:

I hereby authorize the above schools, employers and personal references to provide Quality Pork Processors, Inc. with information about my previous education and employment.
I swear that all information that I have provided to Quality Pork Processors, Inc. in connection with my employment application is accurate and complete to the best of my knowledge. I understand that any falsification or omission of information will be cause for denying me employment or discharge.
Upon a conditional offer of employment, I hereby consent to a chemical test for substance abuse as well as a physical examination, if requested.
I understand that if I am employed by Quality Pork Processors, Inc. that I will be an employee-at-will and that either the company or I can terminate such employment at any time and for any reason.

Date ______________________________

Applicant's Signature __________________________________________________

We Are An Equal Opportunity Employer

Quality Pork Processors Inc. 711 Hormel Century Parkway Austin, MN 55912 Telephone: (507) 434-6300

Application for Employment

Quality Pork Processors Inc.
711 Hormel Century Parkway
Austin, MN 55912
Telephone: (507) 434-6300