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Employment Application

Applicant Information

Full Name: Date: Last First M.I.

Address: Street Address Apartment/Unit #

City State ZIP Code

Phone: ( ) E-mail Address:

Cell Phone: ( ) Desired Salary: $

Position(s) applying for: (please check all that you are interested in)

Tasting Room Market/Ice Cream Shop Field Work General Farm Laborer Maze (fall) Donut Maker (fall) Tractor Driver (fall) Other______________________________________

Are you a citizen of the United States? YES

NO

Have you ever worked for this company? YES

NO

If so, when? Are you under 18? YES NO If yes, please list your date of birth and names of your parents/guardians DOB:_____________________________________Parents/Guardians___________________________________________ *Please keep in mind we only hire qualified candidates over the age of 16

Have you ever been convicted of a felony? YES

NO

If Yes, please explain:

Education

High School: Address:

From: To: Did you graduate? YES

NO

Degree:

College: Address:

From: To: Did you graduate? YES

NO

Degree:

Other: Address:

From: To: Did you graduate? YES

NO

Degree:

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References

Please list three references (other than immediate family)

Full Name: Relationship:

Company: Phone: ( )

Address:

Full Name: Relationship:

Company: Phone: ( )

Address:

Full Name: Relationship:

Company: Phone: ( )

Address:

Previous Employment

Company: Phone: ( )

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:

May we contact your previous supervisor for a reference? YES

NO

Company: Phone: ( )

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:

May we contact your previous supervisor for a reference? YES

NO

Company: Phone: ( )

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:

May we contact your previous supervisor for a reference? YES

NO

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Military Service

Branch: From: To:

Rank at Discharge: Type of Discharge:

If other than honorable, explain:

Tell me a little about yourself

What are your interests? Hobbies?

________________________________________________________________________________________________________________________________________________________________________________________________________________ What type of activities are you involved in (sports, drama etc…) that would limit your availability to work afterschool and on weekends on September and October?

________________________________________________________________________________________________________________________________________________________________________________________________________________ Do you have experience in any of the following? Please explain ____ Running a cash register ____ Working with animals ____ Art (signs, face painting) ____ Food service ____ Working in retail ____ Working with people ____ Working with children ____ Public speaking ____ Drama

________________________________________________________________________________________________________ ____________________________________________________ Do you have any special skills/training?

____________________________________________________________________________________________________________________________________________________________ How is your general health? Any physical limitations we should know about in order to place you in the appropriate job?

________________________________________________________________________________________________________ Do you have a current driver’s license? YES

NO

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If no, how will you be getting to work? Do you have reliable transportation?

____________________________________________________________________________________________________________________________________________________________ Why should we hire you? How do you see yourself contributing to our operation?

____________________________________________________________________________________________________________________________________________________________ If you have a resume, please attach it to this application

Availability

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In the table below, please indicate the days you CAN work May - August. List the earliest and latest time you can work. Use the space below to make any additional comments about your schedule.

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

In the table below, please indicate the days you CAN work September and October. List the earliest and latest time you can work. Use the space below to make any additional comments about your schedule.

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Comments:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Date you are available to start ________________________ How many hours per week are you looking to work? __________________

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature: Date:

Earliest Time In

Latest Time Out

Earliest Time In

Latest Time Out