Job Application

Front 1

Date of application

Back 1

Taarikhda codsiga

Front 2

Complete last Name

Back 2

Buuxi magacaga danbe

Front 3

First Name

Back 3

Magacaga Hore

Front 4

Middle Name

Back 4

magacaga dhexe

Front 5

Address

Back 5

Cinwaanka aad dagantahay

Front 6

City

Back 6

Magaalada

Front 7

State

Back 7

Gobalka

Front 8

Zip

Back 8

Magaalada Numberkeda

Front 9

Telephone Number

Back 9

Lambarka telefoonka

Front 10

Social security Number

Back 10

Numberka sow shiyaalka

Front 11

You must answer All of the following Questions completely

Back 11

Waa in aad ka jawaabto Su'aalaha soo socda si buuxda

Front 12

Are you 18 years of age or older?

Back 12

Adiga 18 sano jir matahay ama ka weyn?

Front 13

Have you applied for employment here before? if yes, give date

Back 13

Ma waxaad codsatay shaqada halkan hada kahor? Hadii haa tahay, goor mee eheed.

Front 14

Have you ever been employed here or at any American Food Group plant before?

If yes, where? and when?

Back 14

Halkaan waligaa ma ka shaqeeysay ama warshada kala American food Group ah?

Hadii haa tahay, halkee eheed? goor me eheed?

Front 15

If you are being referred by a current employee, who is it and where do they work?

Back 15

Hada maka taqana ruux si joogta ah ugu shaqeyo. waa kuma halkuuna ka shaqeya?

Front 16

Full Name. Dept/job

Back 16

Magacaga buuxa. Shaqada

Front 17

If hired, can you provide proof of your legal right to work in the united states?

Back 17

Hadii lagu shaqaleyo, Maheysata sharci sax ah aad ugu shaqeysato united states?

Front 18

can you work monday through saturday on a regular basis if necessary?

Back 18

Mashaqeynkarta isniin ilaa sabti si joogta ah hadii low baahdo.

Front 19

Can you work monday through Friday and occasional sundays if necessary?

Back 19

Mashaqeynkartaa isniin ilaa jimco, marmar hadi low bahdo axad ma shaqeynkarta?

Front 20

What shifts are you willing to work 1st am, 2 nd pm, 3rd pm?

Back 20

Galinkee ayaad rabta in aad shaqeyso, Aroorti hore, ama Duhuradii, ama Habeenki.

Front 21

Are you willing and able to work daily over time?

Back 21

Diyaar ma u tahay in aad shaqeyso malin walba saacada dheeraad ah.

Front 22

In the past five years , have you worked in a USDA inspected Beef slaughter plant?

If yes, describe your experience in detail. what type of work did you do, (harvest, fabrication,packaging, other?

Back 22

Shantii sano la sow dhaafay ma ka shaqeysayUSDA kuwa kormeero Hilibka la gowraco.

Hadii haa tahay, faahfahin kabixi qibrada aad ledahay, shaqa nooce ah ayad qabankarta, (kuwa wax qalo, ama kuwa midida wax kujaro, ama kuwa buuxiyo baakadaha, ama wax kala?

Front 23

If yes, describe your knife or equipment use in detail. What jobs did you perform that used a knife or equipment to cut meat?

Back 23

Hadii haa tahay, sharaxaad kabixi mindida ama qalabka kala, shaqa nocee qabankarta mindi ama qalabka kala lagu yareeyo hilibka.

Front 24

Are you willing and able to work daily overtime?

Back 24

Ma raabtaa ama ma awoodaa inaad shaqayso maalinkasta waqti dheeraad ah?

Front 25

Employer

Back 25

Shaqaaleeye

Front 26

Female Male

Back 26

Dhaddig Lab

Front 27

supervisor

Back 27

korjooge

Front 28

Manager

Back 28

Maamule

Front 29

Salary

Back 29

Mushaar

Front 30

Last Job Tittle

Back 30

shaqadii kuugu dambeysay

Front 31

Reason for leaving

Back 31

Sababta shaqada uga tagtay

Front 32

sign

Back 32

Calaamad

Front 33

signature

Back 33

saxiixa

Front 34

Race/Ethnicity

Back 34

Sinji/qowmiyad

Front 35

White

Back 35

Cadaan

Front 36

Black

Back 36

Madow

Front 37

Black or African American (not Hispanic)

Back 37

Madow ama African American (aan eheyn ispanish)

Front 38

Name of School

Back 38

Magaca iskuulka

Front 39

School Location (city and state) OR Country

Back 39

Iskuulka Mesha Kuyaalo (Magaalda iyo Gobalka) ama Wadanka

Front 40

What Grade did you Complete?

Back 40

fasalkee ayaad dhameysay?

Front 41

Did you graduate or receive GED?

Back 41

Miyaa qalanjabisay ama qaadatay GED?

Front 42

Grade School

Back 42

Heerka wax barashada aad ka gaartay

Front 43

High School

Back 43

Dugsi sare

Front 44

Starting

Back 44

Laga bilaabo

Front 45

Final

Back 45

Ugu danbeen

Front 46

how do i know if i have disability?

Back 46

Sidee baan ku ogaan karaa haddii aan naafo ?

Front 47

Please Check one of the boxes below

Back 47

Min fadlan hubi mid ka mid ah boosaskan hoose

Front 48

I Have a Disability

Back 48

Cuuryaan aan ahay

Front 49

I Don't Have a Disability

Back 49

Ma ahi ruux cuuryaan ah

Front 50

I Don't Wish to answer

Back 50

Madoonaayo in aan ka jawaabo