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If you’re looking for a fun
and exciting seasonal job, you have come to the right place!
You can submit this form by brining it in to the market.
Spring Meadow Farms:
Employment Application
APPLICATION FOR EMPLOYMENT
Street
City, State
Zip code
4. Telephone number: Home (
)_____________________Work (
)___________
5. Social Security
number:______________________________________________
6. How did you hear about Spring
Meadow Farms?__________________________
7. Minimum hourly wage
required:_________________________
8. Date available for
work:_______________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
10.
Do you have any physical
limitations that world hinder or limit your capacity to perform farm or farm
market work.
Yes_____ No______
If yes, please describe: _____________________________________________
________________________________________________________________
11.
Education:
Name of School
Grade
________________________________________________________________
12.
Employment History: List your
last three employers below:
Employer’s name and address
Employed
Salary
And telephone
From – To
Start-End
________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________
Describe your duties:_______________________________________________
________________________________________________________________
________________________________________________________________
Reasons for leaving: _______________________________________________
________________________________________________________________
________________________________________________________________
10.
Personal References: List 3
reference (other that immediate family members)
with addresses and telephone numbers.
________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________
11.
In case of emergency, notify:
Name (relationship to you) __________________________________________
Address _________________________________________________________
Telephone:
Work: ____________________________________
Home: ___________________________________
Cellular Phone: ____________________________
15. Date of
Birth:_____________________________________
READ AND SIGN BELOW
The facts set forth in the Application for Employment are true and complete. I
understand that, if employed, false statements on this application shall be
considered sufficient cause for dismissal.
________________________________________________________________
Signature
Date
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PAYROLL DEDUCTION AUTHORIZATION
I, _______________________________, AUTHORIZE MY
EMPLOYER, SPRING MEADOW FARMS, HEREINAFTER
REFERRED TO AS THE COMPANY, TO DEDUCT FROM MY
NET PAY, AFTER ALL OTHER LAWFUL DEDUCTIONS HAVE
BEEN MADE: (1) THE MONETARY AMOUNT(S), FEES AND
OR DEPOSITS FOR UNIFORMS..THESE DEDUCTIONS MAY
BE TAKEN OUT OF MY WEEKLY PAYCHECKS FROM THE
COMPANY OR OUT OF MY FINAL PAYCHECK FROM THE
COMPANY, AS APPLICABLE.
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