2017 Welsh Heritage Farms, LLC Job Application
First Name
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Last Name
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Date of Application
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Present Address
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Telephone
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If under 18, please list current age:
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Position applied for
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Hourly Rate Desired
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Days available
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How many hours can you work weekly?
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Employment desired
Educational History
Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.
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Have you ever been convicted of a crime?
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
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Office Skills
Please check any skills you have.
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References
Please list two references other than relatives or friends.
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Do you have a driver's license?
What is your means of transportation to work?
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State of issue
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License Type
Accident History
Please list any accidents or moving violations within the past three years.
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Work Experience
Please provide a list of work experience from most recent to least recent for the last 5 years. Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
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Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
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May we contact your current employer?
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