TILLAMOOK COUNTY CREAMERY ASSOCIATION
An equal opportunity employer.

Tillamook County Creamery Association will not discriminate against any employee or applicant for employment because of age, religion sex, race, color, national origin, or because they are disabled, a disabled veteran, a Vietnam era veteran, or other protected status in accordance with applicable law. Answers to application questions will be utilized for applicable, job-related information only.

APPLICATION FOR EMPLOYMENT

Name:
First:          Middle:      Last:

  Mailing Address    
Street:       
City:  
State:      Zip:  

How long in county:          Phone:
    Email:   Cell Phone: 

What date are you available for employment?

APPLICATION INFORMATION
Have you ever pled guilty or been convicted of a felony charge?
Are you eligible to work in the United States?
Are you under the age of 18?
Do you have commitments or agreements that might
affect your employment with TCCA?
If yes, please describe:  
EDUCATION

     Junior High   High School   Trade/Tech School   College
 
Status            
School Name         
 
Course of Study  
Other job-related educational
institutions, licenses, certificates, etc.		  

EMPLOYMENT DATA
Give past employment record as completely as possible starting with latest employer (include Military service).
Employer:     Supervisor: 
Your Position:     Employer Phone: 
Employer City, State: 
Employed from:  (MM/YY)   to:  (MM/YY)       Full-time   Part-time
Your Salary (hourly):  Starting:    Ending: 
Nature of work/duties:  
Reason for leaving: 

Employer:     Supervisor: 
Your Position:     Employer Phone: 
Employer City, State: 
Employed from:  (MM/YY)   to:  (MM/YY)       Full-time   Part-time
Your Salary (hourly):  Starting:    Ending: 
Nature of work/duties:  
Reason for leaving: 

Employer:     Supervisor: 
Your Position:     Employer Phone: 
Employer City, State: 
Employed from:  (MM/YY)   to:  (MM/YY)       Full-time   Part-time
Your Salary (hourly):  Starting:    Ending: 
Nature of work/duties:  
Reason for leaving: 

Employer:     Supervisor: 
Your Position:     Employer Phone: 
Employer City, State: 
Employed from:  (MM/YY)   to:  (MM/YY)       Full-time   Part-time
Your Salary (hourly):  Starting:    Ending: 
Nature of work/duties:  
Reason for leaving: 

Employer:     Supervisor: 
Your Position:     Employer Phone: 
Employer City, State: 
Employed from:  (MM/YY)   to:  (MM/YY)       Full-time   Part-time
Your Salary (hourly):  Starting:    Ending: 
Nature of work/duties:  
Reason for leaving: 

Employer:     Supervisor: 
Your Position:     Employer Phone: 
Employer City, State: 
Employed from:  (MM/YY)   to:  (MM/YY)       Full-time   Part-time
Your Salary (hourly):  Starting:    Ending: 
Nature of work/duties:  
Reason for leaving: