Mankato Implement

SPECIAL NOTE - PLEASE READ CAREFULLY

The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice. I also give permission to contact employers listed on the reverse concerning work experience.

In making this application for employment, I authorize you to make an investigative consumer report whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. This inquiry, if made, may include information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of any such investigative report that is made.

After employment, applicant agrees to comply with the Immigration Reform and Control Act of 1986, which required proof of citizenship or alien status within three days of employment.

SIGNATURE OF APPLICANT

Please sign this form as proof of your electronic signature. *

Since Federal, State and Local laws and interpretations of them change frequently, National Farm & Power Services, Inc. and any of its affiliates disclaim compliance with such laws. Users should refer any legal questions regarding this form to their legal counsel.

This employment application is prepared for general use by equipment dealers and is intended to comply with all federal, state and local fair employment practices law and with the Fair Credit Reporting Act.

Elementary School	High School	College
School Attended	School Attended	School Attended

Military Service
Date entered	Date discharged	Branch of Service	Applicable Skills Learned

Name	Address (Street, City, State)	Phone Number	Occupation	No. of Yrs. Person has known you

Name and Address of Employer	Employed From / To	Kind Of Work	Reason For Leaving	Weekly Earnings

Name Of Firm * Address Supervisor *	Last Start			Last Start

Name Of Firm Address Supervisor	Last Start			Last Start

Name Of Firm Address Supervisor	Last Start			Last Start


Have you worked with farm equipment? Yes No	Do you have a farm background? Yes No
Have you worked for other dealers? Yes No	What line?

Have you had experience with light-industrial equipment? Yes No	As an operator? Yes No
Have you worked for other dealers? Yes No	What line?

Have you had experience with outdoor power equipment? Yes No	As an operator? Yes No
Have you worked for other dealers? Yes No	What line?

Mankato Implement, Inc.

Locations

Personal

Education (Select year completed)

Military Service

Character References

(Give persons you know well, not previous employers or relatives)

Employment History

Actual Experience In Any Of The Following
(Please check all that apply)

Office

Other

Parts Department

Sales Department

Service Department

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