Wilkens Fruit & Fir Farm Worker Application 2017
Please fill out the information below. Please make sure the information is accurate - particularly your phone number and email address.

Please use the appropriate capital and lower case letters for both your name and address. For your "first" name - please indicate what name (or nickname) you would like us to call you by.

Also remember to hit "SUBMIT" at the end to register the information and complete the process.

If you are a Senior or Junior and interested in working after school, please let us know.

Name
(Last, First) ** Remember to use proper capital and lower case letters**
Your answer
Cell Phone
(xxx-xxx-xxxx)
Your answer
Home Phone
(xxx-xxx-xxxx)
Your answer
Best way to contact via home phone or cell phone?
What is the best way to contact you to set up your work hours? Select all that apply:
Date of Birth
(MM/DD/YYYY) In order to complete your application you must bring a valid copy of your birth certificate to the farm. SUBMISSION DEADLINE: August 25th, 2016
Your answer
Class
(College, Senior, Junior, Sophomore, Freshman, 8th Grade)
Social Security #
(xxx-xx-xxxx)
Your answer
Email
(For example: wilkensfruitfarm@gmail.com) **Remember to use proper capital and lower case letters**
Your answer
Working Card #
In order to complete your application you must bring a valid copy of your working card to the farm. SUBMISSION DEADLINE: August 26th, 2017
Your answer
Street Address
(For example: 1335 White Hill Rd) ** Remember proper capital and lower case letters**
Your answer
City
(For example: Yorktown Heights) ** Remember proper capital and lower case letters**
Your answer
State
(For example: NY) ** Remember proper capital and lower case letters**
Your answer
Zip code
(For example: 10598) ** Remember proper capital and lower case letters**
Your answer
Allergies?
Your answer
Fall or Winter sports?
What sports (and at what level - Varsity, JV, etc - if known)?
Your answer
What is your general availability? Please check all that apply
Required
Are you interested in working after school on weekdays? If so, when? Please check all that apply
Required
Are you available to work during the school holidays? If so, when? Please check all that apply
Required
If you have worked at Wilkens Farm in the past, where did you work on the farm? Please check all that apply.
Required
Carpool with?
(so we can try to schedule you at the same times)
Your answer
Places worked before
Your answer
Please check all that apply. I am a...
Required
If you are a relative of a returning or former employee, please provide the name of that individual below:
Your answer
Submit
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