ORCHARD VIEW FARMS – APPLICATION FOR EMPLOYMENT
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Today’s Date (mm/dd/yyyy): Last 4 Digits Of SSN:

Full Name (First Middle Last):
Mailing Address: City: State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA SC SD TN TX UT VT VA WA WV WI WY Zip:
Home Phone Number: Other Phone:
Email:

Only U.S. Citizens or Aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment provide genuine documentation establishing your identity and eligibility to be legally employed in the United States? Yes No

Are you 18 or older? Yes No
If NO, please state your age.

Have you previously worked for Orchard View Farms? Yes No
If yes, Dates (mm/yyyy): From: To:
Last position held:
Supervisor's Name:

Have you had previous work with cherries? Yes No
If yes, Dates (mm/yyyy): From: To:
Previous Employer: Tel:
Address:
Position held:
Supervisor’s Name:

Please list additional information about your last 2 employers, beginning with your present or most recent employer.

Company 1

Name: Tel:
Dates (mm/yyyy): From: To:
Address:
Supervisor’s Name:
May we contact? Yes No
Type of work performed:
Reason for leaving:

Company 2

Name: Tel:
Dates (mm/yyyy): From: To:
Address:
Supervisor’s Name:
May we contact? Yes No
Type of work performed:
Reason for leaving:

Highest Level of Education: Less Than High School High School Some College College Degree Graduate School
High School Name:
High School GPA:
College Name:
College GPA:
Honors, Awards and Achievements:
Technical Training and Certifications:

Have you been convicted of a misdemeanor and/or a felony for which the date of conviction is within the last 5 years or less? Yes No
If yes, please explain:
This information will not necessarily deter you from this position.

Please read before submiting application

• This business does not discriminate in hiring or employment on the basis of color, national origin, sex, religion, marital status, family relationship, disability, veteran status, age or other characteristics protected under state or federal law. No question on this application is intended to secure information to be used in a discriminatory manner.
• Pre-Employment Drug Testing may be required.
• Unless otherwise specified, all employment is seasonal and less than 6 months in duration.
• This application is not a promise of employment, or if employed, a guarantee of employment for any duration. If employment results from this application, you may leave employment at any time. The terms of this application are not contractual.

By submiting this application, I hereby certify that the information provided on this application is accurate to the best of my knowledge and subject to verification by the company hiring. I authorize persons and/or any and all previous employers to provide (its employees or representatives) with any relevant information that may be required to arrive at an employment decision and hereby release any such employers from any and all liability which they might otherwise incur to me as a result. I understand that any misrepresentation or omission of a material fact on my application may be justification for refusal of or, if employed, termination from employment.