Gen­eral Pro­duce
1330 North B Street
Sacra­mento, CA 95811

APPLI­CA­TION FOR EMPLOY­MENT
An Equal Opportunity/​Affirmative Action Employer


Per­sonal Information
Last
First
Mid­dle
Street
City
State
Zip
Street
City
State
Zip
(Pre­fix)
Num­ber
Do you have any friends or rel­a­tives work­ing for Gen­eral Produce?


Employ­ment Desired
If apply­ing for a Warehouse/​Operations posi­tion, which shifts are you avail­able to work?
Are you able to per­form the pri­mary func­tions of the job?
If no, please describe what func­tions can­not be performed.(note: Gen­eral Pro­duce Co. will
con­sider rea­son­able accom­mo­da­tions that may be nec­es­sary for eli­gi­ble employees):
Dates of any pre­vi­ous employ­ment with Gen­eral Pro­duce Company:


Edu­ca­tion and Training

High School

Vocational/​
Trade/​
Busi­ness

College/​
University

For­mer Employers
Describe all pre­vi­ous employ­ment. (List most recent employer first) Use addi­tional com­ments below if necessary.

Ref­er­ences
List names of three per­sons, not related to you, whom you have known for at least one year.

NOTICE

Prospec­tive employ­ees who have received con­di­tional offers of employ­ment at Gen­eral Pro­duce Com­pany will be required to sub­mit to drug and/​or alco­hol test­ing, or other med­ical and/​or phys­i­cal exam­i­na­tions, to the extent allowed under applic­a­ble law and Gen­eral Produce’s Com­pany poli­cies.

Please Note: You should not rely upon a con­tin­gent offer of employ­ment from Gen­eral Pro­duce Com­pany or oth­er­wise engage in any activ­ity based upon a con­tin­gent offer of employ­ment. Unless or until a final offer of employ­ment is made, you should not take any action which could result in finan­cial loss if a con­tin­gent offer is with­drawn, such as giv­ing notice of intent to ter­mi­nate cur­rent employ­ment, sell­ing real estate, or incur­ring any other costs asso­ci­ated with accept­ing employ­ment with Gen­eral Pro­duce Com­pany. No such activ­ity should be under­taken until after med­ical clear­ance has been received and you have received a final offer of employ­ment from Gen­eral Pro­duce Com­pany. Under no cir­cum­stances should you report to work before med­ical clear­ance is received.

AGREE­MENTS

I autho­rize the inves­ti­ga­tion of all state­ments con­tained in this appli­ca­tion. I under­stand that fal­si­fi­ca­tion, mis­rep­re­sen­ta­tion or omis­sion of facts will result in imme­di­ate dis­missal or removal of my appli­ca­tion from con­sid­er­a­tion. I autho­rize Gen­eral Pro­duce Com­pany to secure infor­ma­tion about my back­ground and expe­ri­ence from other employ­ers, edu­ca­tion insti­tu­tions, ref­er­ences and gov­ern­ment agen­cies, and for those par­ties to pro­vide infor­ma­tion con­cern­ing my back­ground and expe­ri­ence. I release all par­ties from any lia­bil­ity aris­ing there from.


If Gen­eral Pro­duce Com­pany employs me, I agree to con­form to the rules and reg­u­la­tions of Gen­eral Pro­duce Com­pany. I also under­stand and agree that, except for arbi­tra­tion and employ­ment at-​will sta­tus, my wages, hours, work­ing con­di­tions, job assign­ments and com­pen­sa­tion are sub­ject to change by Gen­eral Pro­duce Com­pany. I under­stand my employ­ment can be ter­mi­nated, with or with­out cause and with or with­out notice, at any time at the option of Gen­eral Pro­duce Com­pany or myself. I under­stand that, other than the Pres­i­dent of Gen­eral Pro­duce Com­pany, no man­ager, super­vi­sor or rep­re­sen­ta­tive of Gen­eral Pro­duce Com­pany, has author­ity to enter into any agree­ment for employ­ment for any spe­cial period of time, or to make any agree­ment con­trary to at-​will employ­ment. Only the Pres­i­dent of Gen­eral Pro­duce Com­pany has the author­ity to change my at-​will sta­tus, and then only in a writ­ing expressly chang­ing my at-​will status.


My sig­na­ture below cer­ti­fies that I have read and under­stand this appli­ca­tion, and to the best of my knowl­edge, the infor­ma­tion I pro­vided is true and cor­rect. My sig­na­ture below also cer­ti­fies that I agree to be bound by the terms and con­di­tions of employ­ment stated in this appli­ca­tion. This appli­ca­tion con­tains all the under­stand­ings and agree­ments between me and Gen­eral Pro­duce Com­pany con­cern­ing the nature of my employ­ment, if any, by Gen­eral Pro­duce Com­pany, and super­sedes all prior and/​or con­tem­po­ra­ne­ous prac­tices, oral or writ­ten agree­ments, under­stand­ings, rep­re­sen­ta­tions and promises, express or implied, between me and Gen­eral Pro­duce Company.



It is Gen­eral Pro­duce Company’s pol­icy to fill every posi­tion with­out regard to race, color, reli­gion, creed, sex, mar­i­tal sta­tus, age, national ori­gin, ances­try, dis­abil­ity, med­ical con­di­tion, sex­ual ori­en­ta­tion or any other con­sid­er­a­tion made unlaw­ful by applic­a­ble fed­eral, state, or local laws. Gen­eral Pro­duce Com­pany is an equal oppor­tu­nity employer and selects employ­ees on the basis of qual­i­fi­ca­tions. Please con­tact the Pres­i­dent of Gen­eral Pro­duce Com­pany if you have any ques­tions or com­plaints regard­ing this policy

ARBI­TRA­TION

To resolve employ­ment dis­putes in an effi­cient and cost-​effective man­ner, you and Gen­eral Pro­duce agree that any and all claims aris­ing out of or related to your employ­ment that could be filed in a court of law, includ­ing but not lim­ited to, claims of unlaw­ful harass­ment or dis­crim­i­na­tion, wrong­ful demo­tion, defama­tion, wrong­ful dis­charge, breach of con­tract, inva­sion of pri­vacy, or class action shall be sub­mit­ted to final and bind­ing arbi­tra­tion, and not to any other forum.

The arbi­tra­tion process shall be ini­ti­ated by deliv­er­ing a writ­ten request for arbi­tra­tion to the other party within the time lim­its that would apply to the fil­ing of a civil com­plaint in court. A late request will be void. No claim should be sub­mit­ted to arbi­tra­tion with­out first attempt­ing to resolve the mat­ter infor­mally and exhaust­ing Gen­eral Produce’s inter­nal procedures.

The Arbi­tra­tor shall have the exclu­sive author­ity to resolve any dis­pute aris­ing out of or relat­ing to the valid­ity, for­ma­tion, applic­a­bil­ity, inter­pre­ta­tion and/​or enforce­abil­ity of this Agree­ment or any part of this Agreement.

If we are unable to agree upon a neu­tral arbi­tra­tor, we will obtain a list of arbi­tra­tors from a neu­tral dis­pute res­o­lu­tion ser­vice, and strike names alter­na­tively until one arbi­tra­tor remains. The arbi­tra­tor shall con­duct the arbi­tra­tion in accor­dance with the pro­ce­dures set forth in the most recent ver­sion of the National Rules for the Res­o­lu­tion of Employ­ment Dis­putes of the Amer­i­can Arbi­tra­tion Asso­ci­a­tion, except to the extent that any such rule or pro­ce­dure would inval­i­date the enforce­abil­ity of this Agree­ment, and to the extent that admin­is­tra­tion of the arbi­tra­tion by Amer­i­can Arbi­tra­tion Asso­ci­a­tion is required. Regard­less of the out­come, Gen­eral Pro­duce shall pay all the costs that are unique to the arbi­tra­tion forum, namely the arbitrator’s fee. A copy of the National Rules for the res­o­lu­tion of Employ­ment Dis­putes of the Amer­i­can Arbi­tra­tion Asso­ci­a­tion can be found at https://​www​.adr​.org/​a​a​a​/​f​a​c​e​/​r​u​l​e​s.

The arbi­tra­tor shall deter­mine the pre­vail­ing party in the arbi­tra­tion. Costs and attor­neys’ fees shall be awarded to the pre­vail­ing party in accor­dance with the same legal stan­dards that would apply had the action been filed in court. The arbi­tra­tor shall have the author­ity to order any legal or equi­table rem­edy that would be avail­able in a civil or admin­is­tra­tive action on the claim. The arbi­tra­tor shall pre­pare a brief writ­ten deci­sion that includes the essen­tial find­ings and con­clu­sions upon which the award is based.

This arbi­tra­tion shall be the exclu­sive means of resolv­ing any claim aris­ing out of your employ­ment, and no action will be filed in any court or other forum. How­ever, noth­ing in this agree­ment will affect National Labor Rela­tions Board, Work­ers’ Com­pen­sa­tion Appeals Board, Unem­ploy­ment Insur­ance Appeals Board, Depart­ment of Fair Employ­ment and Hous­ing or Equal Employ­ment Oppor­tu­nity Com­mis­sion pro­ceed­ings, peti­tions for judi­cial review of a deci­sion issued after an admin­is­tra­tive hear­ing or the abil­ity of either party to seek injunc­tive relief in an appro­pri­ate court of law.

If any court of com­pe­tent juris­dic­tion declares that any part of this arbi­tra­tion agree­ment is ille­gal, invalid or unen­force­able, such a dec­la­ra­tion will not affect the legal­ity, valid­ity or enforce­abil­ity of the remain­ing parts of the agree­ment, and the ille­gal, invalid or unen­force­able part will no longer be part of this agree­ment. The par­ties under­stand and agree that this arbi­tra­tion pro­vi­sion shall be gov­erned by and inter­preted under the Fed­eral Arbi­tra­tion Act.

This agree­ment sets forth the entire agree­ment between the par­ties and super­sedes any and all prior or con­tem­po­ra­ne­ous agree­ments and under­stand­ings, whether writ­ten, oral or implied, per­tain­ing to the sub­ject mat­ter of this agreement.

THIS ARBI­TRA­TION AGREE­MENT IS A WAIVER OF ALL YOUR RIGHTS TO A CIVIL JURY TRIAL OR PAR­TIC­I­PA­TION IN A CIVIL CLASS ACTION LAW­SUIT FOR CLAIMS ARIS­ING OUT OF YOUR EMPLOY­MENT. ONLY TO THE EXTENT REQUIRED BY APPLIC­A­BLE LAW, CLAIMS MADE PUR­SUANT TO THE PRI­VATE ATTOR­NEYS GEN­ERAL ACT (PAGA) ARE EXCLUDED FROM THIS AGREEMENT.





Gen­eral Pro­duce Com­pany is sub­ject to cer­tain gov­ern­men­tal record­keep­ing and report­ing require­ments for the admin­is­tra­tion of civil rights laws and reg­u­la­tions. In order to com­ply with these laws, the employer invites all appli­cants to vol­un­tar­ily self-​identify their race, eth­nic­ity and gen­der. Sub­mis­sion of this infor­ma­tion is vol­un­tary and refusal to pro­vide it will not sub­ject you to any adverse treat­ment. The infor­ma­tion will be kept con­fi­den­tial and will only be used in accor­dance with the pro­vi­sions of applic­a­ble laws, exec­u­tive orders and reg­u­la­tions, includ­ing those that require the infor­ma­tion to be sum­ma­rized and reported to the fed­eral gov­ern­ment for civil rights enforce­ment. When reported, data will not iden­tify any spe­cific individual.








Vol­un­tary Self-​Identification of Disability
Form CC-​305
OMB Con­trol Num­ber 12500005
Expires 1-​31-​2020
Page 1 of 2

Why are you being asked to com­plete this form?

Because we do busi­ness with the gov­ern­ment, we must reach out to, hire, and pro­vide equal oppor­tu­nity to qual­i­fied peo­ple with dis­abil­i­ties. To help us mea­sure how well we are doing, we are ask­ing you to tell us if you have a dis­abil­ity or if you ever had a dis­abil­ity. Com­plet­ing this form is vol­un­tary, but we hope that you will choose to fill it out. If you are apply­ing for a job, any answer you give will be kept pri­vate and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a per­son may become dis­abled at any time, we are required to ask all of our employ­ees to update their infor­ma­tion every five years. You may vol­un­tar­ily self-​identify as hav­ing a dis­abil­ity on this form with­out fear of any pun­ish­ment because you did not iden­tify as hav­ing a dis­abil­ity earlier.

How do I know if I have a disability?

You are con­sid­ered to have a dis­abil­ity if you have a phys­i­cal or men­tal impair­ment or med­ical con­di­tion that sub­stan­tially lim­its a major life activ­ity, or if you have a his­tory or record of such an impair­ment or med­ical con­di­tion. Dis­abil­i­ties include, but are not lim­ited to:

• Blind­ness • Autism • Bipo­lar dis­or­der • Post-​traumatic stress dis­or­der (PTSD) • Deaf­ness • Cere­bral palsy • Major depres­sion • Obses­sive com­pul­sive dis­or­der • Can­cer • HIV/​AIDS • Mul­ti­ple scle­ro­sis (MS) • Impair­ments requir­ing the use of a wheel­chair • Dia­betes • Epilepsy • Schiz­o­phre­nia • Mus­cu­lar dys­tro­phy • Miss­ing limbs or par­tially miss­ing limbs • Intel­lec­tual dis­abil­ity (pre­vi­ously called men­tal retardation)

Your Name
Today’s Date

Vol­un­tary Self-​Identification of Disability
Form CC-​305
OMB Con­trol Num­ber 12500005
Expires 1-​31-​2017
Page 2 of 2

Rea­son­able Accom­mo­da­tion Notice

Fed­eral law requires employ­ers to pro­vide rea­son­able accom­mo­da­tion to qual­i­fied indi­vid­u­als with dis­abil­i­ties. Please tell us if you require a rea­son­able accom­mo­da­tion to apply for a job or to per­form your job. Exam­ples of rea­son­able accom­mo­da­tion include mak­ing a change to the appli­ca­tion process or work pro­ce­dures, pro­vid­ing doc­u­ments in an alter­nate for­mat, using a sign lan­guage inter­preter, or using spe­cial­ized equipment.
1Sec­tion 503 of the Reha­bil­i­ta­tion Act of 1973, as amended. For more infor­ma­tion about this form or the equal employ­ment oblig­a­tions of Fed­eral con­trac­tors, visit the U.S. Depart­ment of Labor’s Office of Fed­eral Con­tract Com­pli­ance Pro­grams (OFCCP) web­site at www​.dol​.gov/​o​f​c​c​p. PUB­LIC BUR­DEN STATE­MENT: Accord­ing to the Paper­work Reduc­tion Act of 1995 no per­sons are required to respond to a col­lec­tion of infor­ma­tion unless such col­lec­tion dis­plays a valid OMB con­trol num­ber. This sur­vey should take about 5 min­utes to complete.

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