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List your addresses of res­i­dency for the past 3 years
Do you have any friends or rel­a­tives work­ing for Gen­eral Produce?
Are you able to per­form the pri­mary func­tions of the job?
Dates of any pre­vi­ous employ­ment with Gen­eral Pro­duce Company

All dri­ver appli­cants to drive in inter­state com­merce must pro­vide the fol­low­ing infor­ma­tion on all employ­ers dur­ing the pre­ced­ing 10 years. List com­plete address and phone num­ber for each employer.

List employ­ers in reverse order start­ing with the most recent. Do not leave gaps in employ­ment his­tory. Add another sheet if necessary.
List all dri­ver licenses or per­mits held in past 3 years. Use addi­tional com­ments below if you need more space.
Dri­ving Experience
Acci­dent Record for Past 3 Years or More
Have you ever been denied a license, per­mit, or priv­i­lege to oper­ate a motor vehicle?
Has any license, per­mit, or priv­i­lege ever been sus­pended or revoked?

New employ­ees are required to pro­duce ver­i­fi­ca­tion of their legal right to work in the United States. If you are offered employ­ment, can you pro­duce suf­fi­cient doc­u­men­ta­tion of your iden­tity and right to work in the United States, and attest under penalty of per­jury that the doc­u­ments you pro­duce are gen­uine and relate to you?

Confirm Identity

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.


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.

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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.

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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

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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.


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Voluntary Self-Identification

Gen­eral Pro­duce Com­pany is sub­ject to cer­tain gov­ern­men­tal record­ keep­ing 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.

Please check the race/​ethnicity in which you would like to be iden­ti­fied:

Voluntary Self-Identification of Disability

Form CC-​305
Page 1 of 1
OMB Con­trol Num­ber 1250 – 0005
Expires 05/​31/​2023


We are a fed­eral con­trac­tor or sub­con­trac­tor required by law to pro­vide equal employ­ment oppor­tu­nity to qual­i­fied peo­ple with dis­abil­i­ties. We are also required to mea­sure our progress toward hav­ing at least 7% of our work­force be indi­vid­u­als with dis­abil­i­ties. To do this, we must ask appli­cants and employ­ees if they have a dis­abil­ity or have ever had a dis­abil­ity. Because a per­son may become dis­abled at any time, we ask all of our employ­ees to update their infor­ma­tion at least every five years.

Iden­ti­fy­ing your­self as an indi­vid­ual with a dis­abil­ity is vol­un­tary, and we hope that you will choose to do so. Your answer will be main­tained con­fi­den­tially and not be seen by select­ing offi­cials or any­one else involved in mak­ing per­son­nel deci­sions. Com­plet­ing the form will not neg­a­tively impact you in any way, regard­less of whether you have self-​identified in the past. For more infor­ma­tion about this form or the equal employ­ment oblig­a­tions of fed­eral con­trac­tors under Sec­tion 503 of the Reha­bil­i­ta­tion Act, 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.


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:

• Autism • Autoim­mune dis­or­der, for exam­ple, lupus, fibromyal­gia, rheuma­toid arthri­tis, or HIV/​AIDS • Blind or low vision • Can­cer • Car­dio­vas­cu­lar or heart dis­ease • Celiac dis­ease • Cere­bral palsy • Deaf or hard of hear­ing • Depres­sion or anx­i­ety • Dia­betes • Epilepsy • Gas­troin­testi­nal dis­or­ders, for exam­ple, Crohn’s Dis­ease, or irri­ta­ble bowel syn­drome • Intel­lec­tual dis­abil­ity • Miss­ing limbs or par­tially miss­ing limbs • Ner­vous sys­tem con­di­tion for exam­ple, migraine headaches,Parkinson’s dis­ease, or Mul­ti­ple scle­ro­sis (MS) • Psy­chi­atric con­di­tion, for exam­ple, bipo­lar dis­or­der, schiz­o­phre­nia, PTSD, or major depression

Please check one of the boxes below:

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.