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Information Sheet

USA Choice Foods LLC · Contractor Application · Complete all sections, then sign below.

Personal Information
Are you 18 years old or older? *
Criminal background: have you been convicted of any crimes? *
Are you on probation? *
Do you have any warrants? *
Previous Employment

Employer 1

Employer 2

Employer 3

Company Qualities
Listed below are qualities we feel a company should have. Select the five you feel are the most important to you. 0 of 5 selected
References

List three people that you have known for at least one year.

Authorization to Request MVR

…authorize USA Choice Foods LLC to request my Motor Vehicle Report before I am allowed to drive a USA Choice Foods LLC vehicle, and authorize USA Choice Foods LLC to request my Motor Vehicle Report every six (6) months or as necessary to determine that I meet the criteria for driving a USA Choice Foods LLC vehicle.

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Marital status:
Certification

"I certify that all of the above information submitted by me is true and complete and I understand that should any false information, omission representation be discovered, my agreement with USA Choice Foods LLC may be terminated at any time."

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