Employment Test

Personal Information

Name*
Address*
Are You 18 years or Older?*
ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS?*

Employment Desired

MM slash DD slash YYYY
Currently Employed?*
If Yes, may we contact present employer?*
Have you applied here before?*
Can you drive standard transmission?*
Drop files here or
Max. file size: 64 MB.

    Education

    Did you graduate?*
    Did you graduate?
    Did you graduate?
    Did you graduate?

    General

    Present Membership in National Guard or Reserves?

    Former Employers

    List Below the Last Four Employers, starting with the latest.

    References

    Give the Names of 3 people not related to you, whom you have known at least 1 year.
    1. Name*
    2. Name*
    3. Name*
    It is unlawful in the state of Mississippi to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability

    Emergency Contact

    Name*
    Address*

    Drug Exam Test

    I hereby certify that I am Drug Free. If upon medical examination it is determined that I test positive for drugs or that I leave the employment of Allen Beverages, Inc. before I have been employed 30 days, I will reimburse Allen Beverages, Inc., the total amount of the medical examination and drug test.
    I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.