Employment Application

Thank you for your interest in working at D&K Agri-Sales. This application consists of seven sections – please fill out each section as completely as possible.

D&K Agri-Sales (“The Company”) may obtain information about you from a consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records (“driving records”), verification of your education or employment history including current position, worker’s compensation injuries, or other background checks. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report conducted by [One Source The Background Check Company, PO Box 24148, Omaha, NE 68124, 1.800.608.3645, www.onesourcebackground.com]. The scope of this notice and authorization is allowing the Company to obtain from any outside organization all manners of consumer reports and investigative consumer reports now and throughout the course of your employment to the extent permitted by law.

A summary can be found on page 13 of the OneSource Applicant Disclosure and Authorization form. For more information, see: https://www.consumerfinance.gov/learnmore/

    1. Applicant information

    Are you a citizen of the United States? (required)

    If no, are you authorized to work in the U.S.?

    Do you have a current and valid driver's license? (required)

    Do you have a CDL?

    Have you ever been convicted of a felony? (required)

    2. Education

    High School

    Did you graduate? (required)


    Did you graduate?


    Did you graduate?

    3. References

    Please list three professional references. Please DO NOT include relatives.

    Reference #1

    Reference #2

    Reference #3

    4. Previous Employment

    Employer #1

    May we contact your previous employer for a reference?

    Employer #2

    May we contact your previous employer for a reference?

    Employer #3

    May we contact your previous employer for a reference?

    5. Military Service

    6. Anything else?

    7. Disclosure and Authorization