Full Employment Application | Chiles Family Orchards

Orchard & Position

Applying for: *

Carter Mountain Orchard

Chiles Peach Orchard

Position Applied for: *

How were you referred to us:

Personal Information

Full Name *

Current Address *

Country

City

State

Zip code

Phone *

Email *

Date Available to Start Work: *

Last Day Available to work: *

How many hours per week are you available or looking to work: *

General Availability

Monday from

Monday to

Tuesday from

Tuesday to

Wednesday from

Wednesday to

Thursday from

Thursday to

Friday from

Friday to

Saturday from

Saturday to

Sunday from

Sunday to

Are there any dates you are NOT available to work? Vacations, etc.? PLEASE BE SPECIFIC

Wages Expected

If you are under 16 and we require a work permit, can you furnish one?

Not Applicable

Yes

If no, please explain *

Have you ever worked for this company?

Yes

If yes, when? *

Are you a citizen of the United Sates?

Yes

If not, are you legally allowed to work in the United States? *

Do you have a valid driver’s license? *

Have you ever pled “guilty,” “no contest,” or been convicted of a crime? *

Yes

If yes, give dates and details *

Answering “yes” to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation, and position applied for will be considered.

Education

Are you still enrolled in school?

Yes

When does school start in the fall? *

Have you completed or are enrolled in High School?

Yes

High School

Name of School

Location

Years Completed

Major/Degree

Have you completed or are enrolled in College?

Yes

College

Name of School

Location

Years Completed

Major/Degree

Have you completed or are enrolled in Business or Trade School?

Yes

Business or Trade School

Name of School

Location

Years Completed

Major/Degree

Have you completed or are enrolled in Professional or Graduate School?

Yes

Professional or Graduate School

Name of School

Location

Years Completed

Major/Degree

Other Education

Please describe other training, seminars, coursework, etc. that applies to this job.

Work Experience

Please list all previous work experience, beginning with the most recent job held.

Employment #1

Name of Employer

Phone

Job Title

Name of Supervisor

Employed From Date

Employed To Date

Starting Pay

Ending Pay

Responsibilities, Duties Performed, Skills Acquired, Promotions, etc

REASON FOR LEAVING (be specific)

MAY WE CONTACT THIS EMPLOYER FOR A REFERENCE?

Employment #2

Name of Employer

Phone

Job Title

Name of Supervisor

Employed From Date

Employed To Date

Starting Pay

Ending Pay

Responsibilities, Duties Performed, Skills Acquired, Promotions, etc

REASON FOR LEAVING (be specific)

MAY WE CONTACT THIS EMPLOYER FOR A REFERENCE?

Employment #3

Name of Employer

Phone

Job Title

Name of Supervisor

Employed From Date

Employed To Date

Starting Pay

Ending Pay

Responsibilities, Duties Performed, Skills Acquired, Promotions, etc

REASON FOR LEAVING (be specific)

MAY WE CONTACT THIS EMPLOYER FOR A REFERENCE?

Please use this space for more employment history as necessary.

Getting to Know You

Summarize your special skills and qualifications.

Describe a good customer service experience you've had recently.

Describe a bad customer service experience you've had recently.

What are you passionate about?

References

Please list at least 3 persons (NOT related to you) who have knowledge of your work performance and/or personal qualifications within the past 5 years.

Reference #1

Name

Phone

Years Acquainted

How do you know this reference?

Reference #2

Name

Phone

Years Acquainted

How do you know this reference?

Reference #3

Name

Phone

Years Acquainted

How do you know this reference?

Acknowledgment

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision.

I hereby release employers, schools, or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Resume Upload

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Signature of Applicant *

Today's Date *

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