Application for Employment

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

What is your birthdate?*

Work Restrictions

Lifting limitations*

Yes

Do you have transportation to work?*

Yes

Can you stand on your feet all day if required?*

Yes

Do you have any conditions that would keep you from doing your job?*

Yes

If yes, please explain:

DAYS AND HOURS AVAILABLE FOR WORK IN SEPTEMBER – DECEMBER

If hired, it is your responsibility to update your availability for scheduling.

Date you can begin work*

Please summarize your availability including dates and hours below:*

Previous Employment History (any job, including babysitting, lawncare, or volunteer work)*

Education (high school, college and vocational schools)*

What are your hobbies, activities, interests and involvements?*

References

Please list 3 references.

Reference 1*

Reference 2*

Reference 3*

Legal

Are you a U.S. citizen or do you have a legal right and necessary documents to work in the U.S.*

Yes

(Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986)

If you were referred by someone to work at Gaver Farm, put their name here:

Please Read Carefully

I understand that, with my authorization, an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history, subject to applicable federal, state and/or local laws.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of Gaver Farm, LLC.

I understand and agree that if employed, the employment will be “at will”. That is, either I or Gaver Farm may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Gaver Farm does not imply employment and that this application and/or any other Gaver Farm documents are not contracts of employment.

Applicant's Signature*

Date*