PLEASE COMPLETE ALL
INFORMATION REQUESTED
EXCEPT SIGNATURE
Dell’Osso Family Farm
Employment Application Form
This is a TEMPORARY SEASONAL job.
To submit your application via e-mail, please complete all information. Save and name your document, and e-mail it to Info@pumpkinmaze.com. Type Employment Application in the Subject line, and send.
PLEASE COMPLETE PAGES 1-3DATE ______________________
Name _______________________________________________________________________________________
LastFirstMiddle
Present address ______________________________________________________________________________
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Number |
Street |
City |
State |
Zip |
How Long? ___________ |
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Telephone: ________________________ |
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If under 18, please list age: ___________ |
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Position(s) desired: |
(1) ______________________________ |
Days/hours available to work |
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No Pref _______ Thurs _______ |
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(2) ______________________________ |
Mon __________ Fri _________ |
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Tues _________ Sat _________ |
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Wed __________ Sun ________ |
How many hours can you work weekly? ________________________________ Can you work nights? _________
When available to start work? _______________________
Have you ever worked at Dell’Osso Farm (PumpkinMaze)? Yes _______ No _______
If yes, When: _________________________________________
Position(s) worked: _______________________________
_______________________________
_______________________________
Education
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TYPE OF |
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NUMBER OF |
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NAME OF SCHOOL |
LOCATION |
YEARS |
MAJOR AND/OR |
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SCHOOL |
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(Complete mailing address) |
COMPLETED |
DEGREE |
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High School |
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College |
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Bus. Or Trade
School
Special Skills and Qualifications:
HAVE YOU EVER BEEN CONVICTED OF A CRIME? No ________ Yes _______
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. __________________________________
_________________________________________________________________
_________________________________________________________________
Application for Employment |
Page 2 |
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Work |
Please list your work experience for the past five years beginning with your most recent job held. |
Experience |
If you were self-employed, give firm name. Attach additional sheets if necessary. |
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Name of Employer ____________________________________ Name of last supervisor ______________________
Address ________________________________________________________________ Phone ________________
Employment dates: From _______________ To _______________ Pay/Salary: Start __________ Final _________
Last Job Title: ___________________________________
Reason for leaving (be specific) ____________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at the company.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Name of Employer ____________________________________ Name of last supervisor ______________________
Address ________________________________________________________________ Phone ________________
Employment dates: From _______________ To _______________ Pay/Salary: Start __________ Final _________
Last Job Title: ___________________________________
Reason for leaving (be specific) ____________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at the company.
______________________________________________________________________________________________
______________________________________________________________________________________________
Name of Employer ____________________________________ Name of last supervisor ______________________
Address ________________________________________________________________ Phone ________________
Employment dates: From _______________ To _______________ Pay/Salary: Start __________ Final _________
Last Job Title: ___________________________________
Reason for leaving (be specific) ____________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at the company.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Application for Employment |
Page 3 |
Work Experience con’t |
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Name of Employer ____________________________________ Name of last supervisor ______________________
Address ________________________________________________________________ Phone ________________
Employment dates: From _______________ To _______________ Pay/Salary: Start __________ Final _________
Last Job Title: ___________________________________
Reason for leaving (be specific) ____________________________________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at the company.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
MILITARY
Have you ever been in the Armed Forces? Yes ________ No _________
References
Please list two references other than relatives or previous employers.
Name ____________________________________ |
Name ____________________________________ |
Position____________________________________ |
Position____________________________________ |
Company___________________________________ |
Company___________________________________ |
Address____________________________________ |
Address____________________________________ |
____________________________________ |
____________________________________ |
Telephone _________________________________ |
Telephone _________________________________ |
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May we contact your present employer? |
Yes ________ |
No _________ |
Did you complete this application yourself? |
Yes ________ |
No _________ |
If not, who did? ___________________________________________________
Application Statement:
I hereby certify that all responses set forth during my employment application process are true and complete.
_____________________________________ |
_________________________ |
Applicants Name (Print) |
Date |
_________________________________________ |
____________________________ |
Applicant’s Signature |
Date |
