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Contact Information/Informacion de Contacto
* Indicates required question
Have you or your family moved cities in the last
3 years
to look for temporary or seasonal work in agriculture: /
¿Usted o su familia se han mudado de ciudad en los últimos
3 años
para buscar trabajo temporal o de temporada en la agricultura?
*
Yes
No
Have you worked in any of the following agricultural work? (check all that apply)/
¿Ha trabajado en alguno de los siguientes trabajos agrícolas? (marque todos los que apliquen)
*
Field Work/Trabajo del Campo
Orchard/Huerta
Nursery/Vivero
Dairy Farm/Lecherias
Packing Shed/Empaques
Truck Driving/Manejar Camion
Required
Name/
Nombre
*
Your answer
Email/
Correo Electronico
Your answer
Address/
Domicilio
*
Your answer
Phone number/
Numero de Telefono
Your answer
Best Time to Reach You/
La Mejor Hora Para Llamar
*
9am - 12pm
12pm - 4pm
4pm - 6pm
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