Employment Application | Atkins Farms

Job Application

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Email Address *

Home Phone *0 / 10

Cell Phone *0 / 10

Full Time or Part Time? *Full TimePart Time

Hours Available

If you are a student, please indicate your hours available when school is in session.

New employees are required to be available at least 1 weekend day regularly, some evenings and holidays.

Monday *

Tuesday *

Wednesday *

Thursday *

Friday *

Saturday *

Sunday *

Position you are applying for: *

Experience in relation to work desired/special skills & qualifications:

Do you have transportation? *

Date available to start

Salary expected

Are you a U.S. Citizen? *

How did you hear about the position?

Education

High School *

Date Completed *

College

Date Completed

Work Experience

Last Employer

Address

Phone

Supervisor

Work Performed

Start Date

End Date

Reason for leaving

Prior Employer

Address

Phone

Supervisor

Work Performed

Start Date

End Date

Reason for leaving

Prior Employer

Address

Phone

Supervisor

Work Performed

Start Date

End Date

Reason for leaving

Personal References

Name *

Occupation

Address

Phone *

Name *

Occupation

Address

Phone *

Emergency Information

Name *

Relationship

Address

Home Phone *

Work Phone

It is required by law that anyone under the age of 18 must have a work permit.

Do you require a work permit? Check yes if you are under 18. *YesNo

check box if you are under 16

Do Not Contact

We may contact the employers listed on this application unless you indicate those you do not want us to contact. Do Not Contact:

Employer Name(s)

Reason

Attach your Resume:

No file chosen

Save as Draft