CHS Application for Employment
CHS Inc. is an Equal Employment Opportunity Employer. It is the policy of CHS Inc. to recruit, hire, train, compensate and promote without unlawful discrimination as to race, religion, sex, age, national origin, citizenship, disability, or any other category that is protected by applicable federal, state or local law. It is the intent of CHS Inc. to comply with all applicable equal opportunity and affirmative action laws, directives, regulations of federal, state and local governing bodies and agencies.

CHS Inc.

5500 Cenex Drive l   Inver Grove Heights l Minnesota 55077

WEB ADDRESS:  www.chsinc.com


TO THE APPLICANT:
This is a pre-employment questionnaire to help us make our hiring decisions.  For this reason, it is important that you fill out the application completely and truthfully.

Please answer only those questions that are asked within this application.  Any additional information that you provide that is not requested will not be considered and may void this application.

If you receive an offer of employment, it may be conditioned upon testing for use of illegal drugs and a background investigation.



Personal Data
Name (first, middle, last)    Preferred First Name    Email Address Invalid Input
Telephone Number    Alternate Number    Are you under 18 years of age?
Present:
Address    City    State    Zip Code:
Permanent:
Address    City    State    Zip Code:

Position Desired
ARE YOU AUTHORIZED AND CAN YOU PROVIDE VERIFICATION OF YOUR RIGHT TO WORK IN THE UNITED STATES?
DATE AVAILABLE TO START WORK    STARTING WAGE DESIRED
HAVE YOU APPLIED AT CHS Inc. BEFORE?    If yes, when?
ARE YOU WILLING TO RELOCATE? CAN YOU TRAVEL, IF REQUIRED?
HAVE YOU PREVIOUSLY WORKED AT CHS Inc.? If, yes, when and where?
INDICATE THE TYPE OF EMPLOYMENT DESIRED

Check each of the following in which you have experience and operating skill:
Indicate Skill Level as: L (limited) I (intermediate) P (proficient)
Computers
System    Software    Skill
System    Software    Skill
System    Software    Skill
System    Software    Skill
System    Software    Skill

Ten-key/calculator    Dictaphone    Data Entry    Switchboard
Shorthand    WPS
       Typing    WPS


Do you have any other experience, skills or qualifications (including special study, research or training) which you feel would benefit CHS?
If so, please explain.


Do you have any mechanical experience or experience in a skilled trade? If so, please explain.

EDUCATION
Highest year of school completed in High School.
Highest year of school completed in College/University
Name of High School    City    State Graduate?
Major Studies
Degree/Major    GPA (ex. 4.0)
Name of Business, Trade, or Correspondence    City    State    Graduate?
Major Studies
Degree/Major    GPA (ex. 4.0)
Name of College (undergraduate)    City    State    Graduate?
Major Studies
Degree/Major    GPA (ex. 4.0)
Name of College (undergraduate)    City    State    Graduate?
Major Studies
Degree/Major    GPA (ex. 4.0)
Name of Graduate School    City    State    Graduate?
Major Studies
Degree/Major    GPA (ex. 4.0)
SCHOLASTIC HONORS, SCHOLARSHIPS, ASSISTANTSHIPS, ETC.
ARE YOU CURRENTLY ATTENDING SCHOOL?
IF FOREIGN LANGUAGE IS LISTED ON THE JOB DESCRIPTION, PLEASE DESCRIBE YOUR FOREIGN LANGUAGE SKILLS:

EMPLOYMENT HISTORY
MAY WE CONTACT YOUR PRESENT EMPLOYER FOR VERIFICATION?
MAY WE CONTACT YOU AT YOUR PLACE OF BUSINESS?    Telephone Number

Please provide the following information concerning your previous employers for the past five (5) years (start with the most recent and work backward).
Name of Employer   
Street Address    City, State, Zip Code
Date From (Month/Year)    Date To (Month/Year)    Ending Salary
Type of Business    Positon Title
Name of Supervision    Telephone
Describe Major Responsibilities

Reason for leaving

Name of Employer   
Street Address    City, State, Zip Code
Date From (Month/Year)    Date To (Month/Year)    Ending Salary
Type of Business    Positon Title
Name of Supervision    Telephone
Describe Major Responsibilities

Reason for leaving

Name of Employer   
Street Address    City, State, Zip Code
Date From (Month/Year)    Date To (Month/Year)    Ending Salary
Type of Business    Positon Title
Name of Supervision    Telephone
Describe Major Responsibilities

Reason for leaving


BUSINESS/PROFESSIONAL REFERENCES
Name    Title    Company    Telephone   
Name    Title    Company    Telephone   
Name    Title    Company    Telephone   

OTHER PERSONAL HISTORY
Have you ever been convicted of a crime, excluding summary offenses, sealed convictions, and convictions which have been expunged, in the past seven (7) years? *(See below)
Conviction of a crime will not necessarily disqualify you from employment. Factors such as the age and time of the offense, seriousness and nature of the violation, and rehabilitation will be considered when making employment decisions.
* Applicants in Ohio need not disclose misdemeanor convictions.
Applicants in Colorado need not disclose information pertaining to sealed convictions.
Applicants in Georgia need not disclose information pertaining to "first offender discharge."
If your answer is "yes", please explain the circumstances surrounding such offense, including place, date, name of court, etc.


UNDERSTANDING REGARDING CONDITIONS OF EMPLOYMENT

I certify that the facts contained in this application are true and correct to the best of my knowledge and I understand that, if I am employed, false or concealed statements on this application shall be grounds for dismissal, no matter when discovered.

I understand that this employment application is valid for the position applied for at the present and that CHS Inc. is not obligated to retain or consider this application for future openings. 

I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time for any reason or no reason at all, without prior notice.  I also understand that no representative of CHS Inc. other than an officer of CHS has the authority to enter into any agreement to the contrary, and then only if such agreement is in a written and signed document.

I understand that this application does not guarantee a current job opening and does not obligate CHS Inc. to hire me.

I understand that, if hired, I will be required to furnish proof of identity and right to work in the United States.  An employee’s failure to provide a valid Social Security Number for wage report purposes may result in personnel action up to and including termination.


Type your Name as Your Signiture    Date

Invalid Input  

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