Ag Connection Sales, Inc. dba Sure Crop

877 Hwy 36
Seneca, KS 66538

We consider applications for all positions without regard to race, color, regligion, creed, gender, national origin, age, disability, mariatal or vetern status, or any other legally protected status. 

Personal Information

Are you legally authorized to work in the United States? *
Have you ever been convicted of a felony? *
Have you ever filed an application with us before? *
Have you every been employed with us before? *
Are you currently employed? *
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? *


Are you available to work? *
Are you currently on "lay-off" status and subject to recall with other employment? *
Are you available to travel if a job requires it? *


Diploma/Degree *

Employment History

Start with your present or last job. Include any job-related military service assignments and volunteer activities.  You may exclude organizations which indicate race, color, religion, gender, national origion, disabilities or other protected status.
Employer 1
May we contact? *

Employer 2
May we contact? *

Employer 3
May we contact?

Employer 4
May we contact?


Professional/Personal Reference 1
Professional/Personal Reference 2
Professional/Pesonal Reference 3

Additional Skills

I certify that answers given herin are true and complete. *
I authorize investigation of all statments contained in this application for employment as may be necessary in arriving at an employment decision. *
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. *
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also that I am required to abide by all rules and regulations of the employer. *
Signature of Applicant *
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