Grainland Farmers - Application: PTSHH

Application: PTSHH

Part-time seasonal harvest help

Please fill out all information below. Once submitted please allow 1-2 business days for reply

All resumes can be sent to info@grainlandfarmers.com

First Name

Last Name

Street Address

City

State

Zip Code

Phone

Date of Birth

Date Available

Desired Salary

Are you a US Citizen?

Yes

If no, are you authorized to work in the US?

Yes

Have you ever worked for this company?

Yes

If so, when?

High School

Dates Attended

Did you graduate?

College

Dates Attended

Did you graduate?

Previous Employment

Company

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates

Reason for leaving

May we contact previous supervisor for reference?

Yes

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

Required field

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