Which company are you applying for?
* Centrum Valley Farms in Clarion,IA Hawkeye Pride in Corwith,IA Iowa Cage Free in Goldfield,IA Ovation Farms in Thompson, IA
Have you worked with us or any of our sister companies before?
* -- No answer -- Yes No
How were you referred to us?
* -- No answer -- Company Employee Online Job Board Job/Career Fair Newspaper Ad Radio Ad Facebook Recruiting Agency Flyer Other
Who referred you? Enter first and last name
Why are you interested in this position?
Can you work weekends?
* -- No answer -- Yes No
Can you work extra hours?
* -- No answer -- Yes No
What is the earliest you can start?
Have you ever been convicted of a felony? If yes, explain:
Centrum Valley Farms is an Equal Opportunity Employer and is dedicated to a policy of non-discrimination in employment on any basis including: age, sex, color, race, national origin, religion, marital status, political belief, or disability. This application will be given every consideration, but is not a guarantee of employment.
I certify that my answers to the above questions are true and correct without any consequential omissions of any kind. I understand that if I am employed, any false, misleading, or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge.
By writing my name below, I am stating that I understand and accept the terms as stated above. *
The following questions are entirely optional.
To comply with government Equal Employment Opportunity and/or Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated.
Decline to answer Female Male
Decline to answer Hispanic or Latino White, not Hispanic or Latino Black or African-American, not Hispanic or Latino Asian, not Hispanic or Latino Native Hawaiian or Other Pacific Islander, not Hispanic or Latino American Indian or Alaskan Native, not Hispanic or Latino Two or More Races, not Hispanic or Latino
Invitation for Job Applicants to Self-Identify as a U.S. Veteran
A “disabled veteran” is one of the following:
a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
a person who was discharged or released from active duty because of a service-connected disability.
A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Voluntary Self-Identification of Disability
Voluntary Self-Identification of Disability Form CC-305
OMB Control Number 1250-0005
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
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:
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
Blind or low vision
Cardiovascular or heart disease
Deaf or hard of hearing
Depression or anxiety
Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
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