Russell Stover Whitman's Pangburn's Sugar Free All Categories About Russell Stover
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In connection with your application, we collect information that identifies, reasonably relates to or describes you (“Personal Information”). The categories of Personal Information that we collect include your name, government-issued identification number(s), email address, mailing address, other contact information, emergency contact information, employment history, educational history, criminal record, and demographic information.  We collect and use those categories of Personal Information about you for human resources and other business management purposes, including identifying and evaluating you as a candidate for potential or future employment or future contract positions, recordkeeping in relation to recruiting and hiring, conducting criminal background checks as permitted by law, conducting analytics, and ensuring compliance with applicable legal requirements and Company policies.

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Summary
Title:Customer Service Representative
ID:201099
Department:Customer Service
Location:Kansas City, MO (RSC Corporate Headquarters)
Classification:Regular
Status:Full-Time
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*Application for Employment
APPLICANT NOTE
  • Individuals expressing interest in employment must meet the minimum position qualifications defined by the Company in order to be considered an applicant for employment opportunity.
  • Failure to complete the employment application in its entirety will render it invalid and will result in disqualification for consideration for employment.

EMPLOYMENT HISTORY
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EMPLOYER 1

Dates Employed Employer Name & Address Employer Phone
From:
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To:
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*

*
*
Job Title Supervisor Name & Title May we Contact?
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*

*
*
Yes
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Responsibilities Reason for Leaving
*
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EMPLOYER 2

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving

EMPLOYER 3

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving

PERSONAL INFORMATION
* Only U.S. Citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon offer of employment, provide genuine documentation establishing your identity and eligibility to be legally employed in the U.S.?  (Proof of identity and eligibility will be required if offered employment.):
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* Have you ever been employed by Russell Stover Chocolates before?:
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If Yes, in what capacity?
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EDUCATION
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PROFESSIONAL REFERENCES Please provide three professional references (not relatives).

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AUTHORIZATION
Please read and sign the following statement:

In applying for employment with Russell Stover Chocolates, LLC, and by my signature below, I acknowledge that I understand and agree to the following:
  • I understand that the Company requires the successful completion of a urinalysis for drug testing purposes and/or a blood alcohol test as a condition of employment. By submitting this Application for Employment, I hereby consent to either or both of said tests, at the Company's discretion.
  • I hereby affirm and declare that all of the foregoing statements are true and correct, and that I have not knowingly misrepresented or withheld any information, including but not limited to any information concerning my education or employment record.
  • I understand that a false statement, misrepresentation, and/or intentional omission on this application may be considered a sufficient cause for rejection of the application, or dismissal, if already employed by this Company.
  • I understand it is the fundamental policy of Russell Stover Chocolates, LLC, to provide equal employment opportunity to all of its employees and applicants for employment and to insure that there shall be no discrimination against any person because of race, religion, color, sex (gender), sexual orientation, age, national origin, disabled veteran or veteran status, disability, or any other status protected by law.

    I hereby acknowledge that in the event I am hired, the employment relationship between Russell Stover Chocolates, LLC and myself will be an "at-will" relationship that may be terminated by either party at any time, with or without cause, unless a state common-law or statutory limitation on the employment-at-will doctrine exists. I further understand that neither this application for employment nor any offer of employment should be construed as an employment contract, and I further understand that no representative of the Company has the authority to make any assurances to the contrary.


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VEVRAA Pre-Offer Self-Identification Form
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VETERANS
This company is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:
  • 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.
Protected veterans may have additional rights under USERRA - the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

I identify as one or more of the classifications of Protected Veteran listed above.
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Voluntary Self-Identification of Disability CC-305
Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 01/31/2020

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

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:

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Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

i Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
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