Please enable JavaScript in your browser to complete this form.POSITION APPLIED FOR:NAME *FirstLastADDRESSPHONE *Email *DATE OF BIRTH *MARITAL STATUSSingleMarriedHAVE YOU BEEN CONVICTED OF A FELONY IN THE LAST 5 YEARS? *YesNoHAVE YOU WORKED IN RETAIL, AGRICULTURE OR BAKERY BEFORE?YesNoIF SO, WHERE?DO YOU HAVE A VALID DRIVERS LICENSE? *YesNoEVER RECEIVE A TRAFFIC VIOLATION? *YesNoSELECT EMPLOYMENT PREFERRED *Full time (32 hours/week)Part timeDAYS AVAILABLE TO WORK (check all that apply)MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAYEDUCATION (High School)HIGH SCHOOL GRADUATION YEAREDUCATION (College)COLLEGE GRADUATION YEAREDUCATION (Trade School)TRADE SCHOOL GRADUATION YEARTRAINING, LICENSES OR CERTIFICATIONS?EMPLOYMENT HISTORY- PRESENT *include name, address, duration on employment, wage & responsibilitiesEMPLOYMENT HISTORY- PAST EMPLOYER 1include name, address, duration on employment, wage & responsibilitiesEMPLOYMENT HISTORY- PAST EMPLOYER 2include name, address, duration on employment, wage & responsibilitiesDO YOU HAVE ALLERGIES *YesNoIF YES, EXPLAINWHY ARE YOU APPLYING TO WORK AT FRECON FARMS?Submit
