Application: Farms & Maintenance

Application for Employment (Farms & Maintenance)

It is this company’s policy to provide equal opportunities in its operation and in all areas of its employment practices and to assure that there will be no discrimination against any employee or applicant for employment as provided by law. Applicants requiring accommodation in the application and/or interview process should notify a representative of the Human Resources department.

First Name: MI: Last Name:
Address: City: State: Zip:
Home Phone: Cell Phone:    Email:

Have you previously been employed with Pipestone before?:
 Yes No
If yes, when? From: mo/year to mo/year
If no, how did you hear about Pipestone?
Referred by:
Pipestone Employee - Name :
You heard about us through a:
 Career Fair Classified Ad.
Other:

Position Applying For :
Region :
 Full Time Part Time Seasonal/Internship (check all that apply)
Available to Work:
 Days Evenings Weekends (check all that apply)
Are you willing to relocate?  Yes No
Do you have reliable transportation?  Yes No

Are you at least 16 years of age?    Yes No

Are you at least 18 years of age?    Yes No

Do you or anyone who lives in your residence have contact with swine?  Yes No

Do you or anyone you live with work with meat processing?  Yes No

EDUCATION

Name of School
City, State
Grade Completed
Graduate?
Major
 Graduate
 Graduate
 Graduate

Please state any special achievements, qualifications or experience that you may have in addition to the education listed above, which would qualify you for the position you are applying.


PREVIOUS WORK EXPERIENCE – Please give five years of work history, starting with your most recent employer.

Company Name: City: State: Telephone:
Supervisor Name: OK to Contact:  Yes No Employment Dates: To:
Job Title: Starting Pay Rate: Ending:
Reason For Leaving:
Company Name: City: State: Telephone:
Supervisor Name: OK to Contact:  Yes No Employment Dates: To:
Job Title: Starting Pay Rate: Ending:
Reason For Leaving:
Company Name: City: State: Telephone:
Supervisor Name: OK to Contact:  Yes No Employment Dates: To:
Job Title: Starting Pay Rate: Ending:
Reason For Leaving:
Company Name: City: State: Telephone:
Supervisor Name: OK to Contact:  Yes No Employment Dates: To:
Job Title: Starting Pay Rate: Ending:
Reason For Leaving:
Company Name: City: State: Telephone:
Supervisor Name: OK to Contact:  Yes No Employment Dates: To:
Job Title: Starting Pay Rate: Ending:
Reason For Leaving:

FARM RELATED EXPERIENCE

Please read the following categories and rate your experience/knowledge level from

1 through 5. (1 = no experience; 5 = very experienced)

Gestation
 Moving Sows
 Hand Feeding
 Auto Feed Systems
 AI Mating
 Semen Collection
Farrowing
 Assist Farrowing
 Process Pigs
 Treat Sick Pigs
 Cross Foster Pigs
Managing People
 Supervise
 Deal w/Work Comp
 Training
 Schedule Work/Duties
 Schedule Employees
Maintenance
 Thermostats
 Ventilation Fans
 Welding
 Plumbing
 Electrical
Finishing
 Sorting
 Treating Sick Pigs
 Selecte Breed Stock
 Mark Slaughter Hogs
Records
 Individual Sows
 Breed
 Inventory
 Feed
 Analysis
Transportation
 CDL License
 Tractor-Trailer Cert
 Stick Shift
 Air Break Certified
Computer Skills
 Microsoft Excel
 Microsoft Outlook
 Microsoft Power Point
 Microsoft Word
 Data Entry
 Porcitec
Facility Types
 Sow Confinement
 Nursery
 Finishers
General Equipment
 Cooling Systems
 Gas Heaters
 Pressure Washers
Certifications
 PQA Plus
 TQA
 Other

Physical Job Requirements

In order to perform the essential functions of a Swine Technician with Pipestone all applicants should be able to:

  • Stand, walk and be on feet 8 to 10 hours per day.
  • Frequently bend, reach, squat and kneel.
  • Frequently use one or both hands/arms to grasp or pull. (Employee uses power washer with 3000 psi force and 5 gallons per minute flow.)
  • Frequently lift objects weighing 3 to 20 pounds.
  • Occasional bend while pulling and/or lifting objects weighing up to 50 pounds, or requiring up to 50 pounds of force to move.
  • Occasionally bend while pulling and/or lifting objects weighing, up to 100 pounds, or requiring up to 100 pounds of force to move - with the assistance of another person as needed.
  • Please complete questions below pertaining to Physical Job Requirements.

Do you understand the essential functions? 
 Yes No

Can you perform the essential functions of this job with or without reasonable accomodation? 
 Yes No

Please list any relevant experience not listed in the Employment History Section:

REFERENCE CHECK – Please list three people who are not related to you and who are not previous employers.

Name
Email Address
(Area Code) Telephone
Occupation
Years Known

RESUME UPLOAD (optional) – If you have a resume you would like to attach you can do so here.

I certify that the answers I have provided to the questions and statements are true and correct to the best of my knowledge. I understand that any omissions, misleading statements or incorrect answers made by me may render this application void and, if employed, would be cause for termination.

All applicants should be advised that the Social Security Administration verifies the validity and authenticity of information given to Pipestone’s Human Resources and/or Payroll Departments for proof of employment eligibility. Any employee found to have presented fraudulent or falsified documents will be subject to immediate disciplinary action, up to and including termination of employment. Pipestone will provide no reimbursement, support or sponsorship for any employee found to have presented false information regarding employment eligibility.

Pipestone is an Equal Opportunity Employer.

Pre-employment drug test and background screening required.

Please click the submit button only once when submitting your application.

(You will receive email confirmation.)