Delicious Orchards

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Telephone*

Email*

A valid Social Security Number is necessary if offered a position.

If you are under 18, can you furnish working papers?

Yes
No

Position Applying For*

Type of employment desired*

Full Time
Part Time
Temporary
Weekends Only

Date available to begin work*

Please check off which days you are available to work*

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Have you ever been employed here before?*

Yes
No

Educational Background*

Starting with the most recent, list the last three schools you attended, the number of years completed and indicate degree or diploma earned.

School	# of Years Completed	Degree

Employment History*

Starting with the most recent, list your last four (4) employers, assignments or volunteer activities - including military experience

Employer Name & Address	Dates of Employment	Position	Salary	Reason for Leaving

References*

List the name and telephone number of three business or work related references who are not related to you. If applicable, list school or personal references who are not related to you.

Name	Telephone #	Years Known

Consent*

I agree.

It is understood and agreed upon that any misrepresentation by me in this application will be a sufficient cause for cancellation of this application/or separation from the employer’s service if I have been employed.

I give Delicious Orchards the right to investigate all references and to secure additional information about me. If job related, I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information.

Delicious Orchards is an equal opportunity employer. Delicious Orchards does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or federal law.

I understand that just as I am free to resign at any time, Delicious Orchards reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of Delicious Orchards has the authority to make assurances to the contrary.

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