3 Tall Pines Job Application Form
Please complete the entire application.

                       

Employer: 3 Tall Pines Farm, LLC

Address: W6326 County Rd Z
Plymouth, Wisconsin 53073 

                       

It is the policy of 3 Tall Pines Farm, LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability, or veteran status.

               

Certification

                       

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for the rejection of my application or, if employment commences, immediate termination.

                       

I authorize 3 Tall Pines Farm, LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

                       

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Director of Human Recourses, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of 3 Tall Pines Farm, LLC, except in a specific written contract of employment signed on behalf of the organization by its Director of Human Recourses, has the power to alter or vary the voluntary nature of the employment relationship.

                       

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION, AND I UNDERSTAND AND AGREE TO ITS TERMS BY SUBMITTING THIS FORM.

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Name *
First and last name
Email *
Phone number *
Which position(s) are you interested in? *
Required
Position Applied For *
Home Address:              
 *
Number of years at this address:
 *
Do you have a Driver's License?
      
 *

Who should be contacted if you are involved in an emergency?

Relationship to you:

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Emergency Contact Phone *
Emergency Contact Address *
Desired Salary *
Who referred you to our company? *

Do you have any friends or relatives who work here?
If yes, please list here:

*

Have you applied to our company previously?             

If yes, when?

 *

Are you at least 18 years old?

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How will you get to work? 

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Are you willing to work any shift, including nights and weekends? If no, please state any limitations: 

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If applicable, are you available to work overtime?

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If you are offered employment, when would you be available to begin work? 

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MM
/
DD
/
YYYY

If hired, are you able to submit proof that you are legally eligible for employment in the United States?

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Have you ever been convicted of a felony or misdemeanor? 

If yes, please state.

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT. 

 *

Applicant's Skills 

List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and pick a number 1-5 that corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.) 

 *

College/University
High School/GED
Name and Address: 

 *

Did you receive a high school degree or GED?

 *

Did you receive a college degree?

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Other Training (graduate, technical, vocational): 

 *

Please indicate any current professional licenses or certifications that you hold: 

 *

Awards, Honors, Special Achievements: 

 *

Military Service:

 *

Military Branch:

 *

Specialized Training: 

 *

References:
List any two non-relatives who would be willing to provide a reference for you. 

Please provide reference name, email, and phone number.

 *

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer: 

 *

Applicant Employment History 

List your current or most recent employment first. Please list all jobs (including self-employment and military service) that you have held, beginning with the most recent, and list and explain any gaps in employment. 

Employer Name:
Supervisor Name:
Address: 
City/State/ZIP: 
Job Duties: 
Reason for Leaving:
Dates of Employment (Month/Year): 

 *

Employer Name:

Supervisor Name:
Address: 
City/State/ZIP: 
Job Duties: 
Reason for Leaving:
Dates of Employment (Month/Year): 

 *

Employer Name:

Supervisor Name:
Address: 
City/State/ZIP: 
Job Duties: 
Reason for Leaving:
Dates of Employment (Month/Year): 

 *

Employer Name:

Supervisor Name:
Address: 
City/State/ZIP: 
Job Duties: 
Reason for Leaving:
Dates of Employment (Month/Year): 

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