Online Job Application
Personal Info
First Name
Last Name
Date of birth
Gender
Email
*
Phone
*
Address
Street Address
City
State
Country
Country
Postal Code
Education
Skills and Interests
Activities, organizations, or community involvement (optional)
Employment Info
Desired Position (Check all that apply)
Cashier & Stocker (Run register, stock produce, customer service)
Kitchen Staff (Food prep, baking, customer service)
Field Hand (Maintain crops, pick & grade produce)
Other (Have special skills to offer us? Tell us in the space below!)
*If you chose "other" above, explain in the box below:
Desired Hours
Part-Time
Full-Time
Number of Hours:
Desired Pay Range
Available Start (date preferred)
Previous Employment
Place of Employment #1
Workplace
Position
Start Date
End Date
Place of Employment #2
Workplace
Position
Start Date
End Date
Place of Employment #3
Workplace
Position
Start Date
End Date
References
List 3, non-family preferred, previous employees if applicable
Reference #1
Name
Relationship
Phone
Reference #2
Name
Relationship
Phone
Reference #3
Name
Relationship
Phone
Additional Notes (optional)
Feel free to attach a resume here
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
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