Tougas Family Farm Job Application Form

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Thank you for your interest in working with us! Please fill out the form below and press the submit button.

Email *

Name *

First and Last Name

Address: *

City: *

State: *

Zip: *

Phone Number: *

Are you 18 years or older? *

Yes

If not 18 or older, what is your age?

Other:

Which position(s) are you interested in? *

Cashier

Tractor Driver

Harvest Guide

Baker

Donut Maker

Dishwasher

Cleaning Crew

Other:

Required

Total Hours You're Available to Work per Week AND any important notes on the time you are able to work. (start date, if your schedule will change etc) *

List any planned vacations or dates you know you are NOT available: *

Hours You're Available to Work per Week - Check ALL boxes that apply *

Not Avail

MORNING

MIDDAY

AFTERNOON

MON

TUE

WED

THU

FRI

SAT

SUN

School most recently attended *

School City/Town Location *

Last Grade Completed *

Graduated? *

Currently Enrolled? *

Sports and/or Activities

Grade Average

Most Recent Job POSITION: *

COMPANY NAME: *

COMPANY ADDRESS: *

COMPANY PHONE NUMBER: *

SUPERVISOR'S NAME: *

START DATE & END DATE *

REASON FOR LEAVING *

ADDITIONAL SKILLS OR EXPERIENCE RELATED TO CUSTOMER SERVICE, SALES, OR FOOD SERVICE: *

Do you now have, or have you had within the past six months any contagious or communicable diseases, gastrointestinal infections, or have you ever had hepatitis or salmonella? *

YES

IF YES, CLICK "OTHER" BELOW AND EXPLAIN:

Other:

I certify, with the submission of this form, that the information contained on this application is correct to the best of my knowledge and understand that any falsification is grounds for dismissal. I authorize the references listed above to give you any and all information concerning my previous employment. I acknowledge that if I become employed, I am free to terminate my employment at any time and Tougas Family Farm LLC reserves the same right. This position is on an as needed basis. *

I UNDERSTAND AND AGREE

Send me a copy of my responses.

Submit

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