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FACILITY LOCATION*

MISSISSIPPI
LOUISIANA

DATE*

NAME*

First Last

ADDRESS*

Street Address City State ZIP Code

HOME PHONE NUMBER*

CELL PHONE NUMBER

EMAIL*

GENDER

ARE YOU OVER THE AGE OF 18?

YES
NO

DATE AVAILABLE TO START*

POSITION APPLIED FOR:

RESUME UPLOAD

Drop files here or

Have you ever been convicted of a felony?*

Yes
No

If yes, please explain:

Are you legally eligible to work in the US?*

Yes
No

Do you have reliable transportation?*

Yes
No

Have you worked for DG Foods before?*

Yes
No

If yes, when?

Are you able and willing to work nights?*

Yes
No

Do you have friends or relatives employed by DG Foods?*

Yes
No

If yes, please list.

Name Relationship Department

Past Work Experience?*

Summarize special skills, qualifications, and training not listed elsewhere:

How did you hear about us?

Privacy Statement*

I agree to the privacy policy.

The information included in your application will only be used for the purpose of employment by DG Foods. Your information will only be viewed by our management team and stored securely. We Will not share any of your information, including your email address, with any third parties unless instructed to do so by Federal, State, or Local authorities

The application is a web-fill document that is sent via email to Human Resources Department at DG Foods. The web page developers nor DG Foods, LLC accepts any responsibility for misdirected, lost or intercepted emails of information or the transfer of any viruses, Trojans, or complications associated during electronic communications. By completing the application and submitting via email you agree to this policy.

Electronic Signature*

I agree to the electronic signature

Typing your name in the signature line below and placing a check in the box, you agree that all the statements you provided are true and any falsifying information could result in termination if employed.

Electronic Signature:*

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DG Foods

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