Meiji Careers Application Form Current Job Listings Name* First Last Personal InformationAddress* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Do you know anyone currently employed by this company?* Yes No If so, please state the name(s) of such person(s): Are you at least 18 years of age?* Yes No Are you either a united states citizen or an alien who has the legal right to work in a job for which you are applying?*(note: if hired, you must complete the I-9 form required by the U.S. Immigration and Naturalization service no later than three business days after your date of hire.) Yes No Employment DesiredArea of interest* Select All Manufacturing Office Retail Position applied for:* Preferred shift time: Select All 1st Shift (7:00 am to 3:00 pm) 2nd Shift (3:00 pm to 11:00 pm) 3rd Shift (11:00 pm to 7:00 am) Date you can start:* MM slash DD slash YYYY Desired Salary*Have you ever applied to this company before?* Yes No When? Have you ever worked here through a temp agency?* Yes No When? Have you ever worked for this company before?* Yes No When? Supervisor Reason For Leaving EducationHighest Level of EducationHigh School 9 10 11 12 College 1 2 3 4 Masters 1 2 3 4 Name of school last attended: Vocational or trade training: Former EmployersList your work experience for the past 7 years, starting with your present or most recent place of employment.Dates Employed (Start & End Date) Name And Address Of Employer Position Reason For Leaving Dates Employed (Start & End Date) Name And Address Of Employer Position Reason For Leaving Dates Employed (Start & End Date) Name And Address Of Employer Position Reason For Leaving Dates Employed (Start & End Date) Name And Address Of Employer Position Reason For Leaving Dates Employed (Start & End Date) Name And Address Of Employer Position Reason For Leaving Dates Employed (Start & End Date) Name And Address Of Employer Position Reason For Leaving Dates Employed (Start & End Date) Name And Address Of Employer Position Reason For Leaving May we contact your present employer at this time? Yes No Upload Resume*Max. file size: 100 MB.Statement and ConsentApplicant's Statement I understand that any employment by the Company will be on a 90-day introductory basis. If employed by Meiji America Inc. / D.F. Stauffer Biscuit Co., Inc., I agree to abide by its rules and regulations. The above information is complete and true to the best of my knowledge. I understand that discovery of misrepresentation or omission of facts herein will be cause for my immediate dismissal. I authorize the Company to contact my references and former employers for full information. I release from all liability and responsibility all persons and entities requesting or supplying information about my employment experience listed on this application, including my present employer.Consent For Substance Abuse Screening I hereby consent to provide a urine specimen that will be tested to determine the presence of illegal substances. I also consent to have the results of this test released to Meiji America Inc. / D.F. Stauffer Biscuit Co., Inc. Talent Acquisition. I understand that my refusal to sign this consent form constitutes a violation of the Meiji America Inc. / D.F. Stauffer Biscuit Co., Inc. Employment Substance Abuse Screening Policy, and I will not be considered for, and knowingly waive any possibility of employment with Meiji America Inc. / D.F. Stauffer Biscuit Co., Inc. This authorization shall be effective immediately and be in effect for the remainder of the calendar year from the date noted below. I understand that I have the right to receive a copy of this authorization request.SignatureBy signing the box, you have read and understood all information above.CAPTCHA