Job Application: Employee

Title: Employee

Fields marked with an asterisk (*) must be filled out before submitting.

Harvest Homes, inc. Application For Employment

Personal Information

First Name: *
Last Name: *

Present address

Address *
City *
State *
Zip Code *
Telephone *
Texting OK at this number: * Yes
No
email *
Type of work desired : *
Date available for employment : *
I am legally able to work in the United States * Yes
No
I am 21 years of age or over : * Yes
No
I can perform the essential functions of the job(s) for which I am applying. * Yes
No
I am able to work: * Full Time
Part Time
Overtime
I am able to work the following shift : * 6am-2pm
2pm-10pm
10pm-6am
How did you hear about Harvest Homes?

Special skills, qualifications

Summarize your special skills, qualifications or activities that are related to the job you are seeking.
Are you fluent in American English? * Yes
No
Are you fluent in any languages other than English?

Education information

elementary school
High School
College
Subect/s studied
Trade/business/etc

Employment Experience : List your last four (4) jobs, starting with your present or last job. Don not omit any jobs.

Job 1 Employer : *
Job 1 Address : *
Job 1 Supervisor\’s Name: *
Job 1 Supervisor\’s Phone Number *
Your Title at Job 1 *
Your Salary Starting/Ending *
What did/do you like best about this job? *
What did/do you like least about this job? *
Reason for leaving job? *
Job 2 Employer *
Job 2 Address *
Job 2 Supervisor\’s Name *
Supervisor\’s Phone # *
Your Job Title *
Your Salary, Starting/Ending *
Duties: *
What did/do you like best about this job? *
What did/do you like least about this job? *
Reason for leaving: *
Job 3 Employer
Job 3 Address
Supervisor\’s Name
Supervisor\’s Phone Number
Your Job Title
Your Salary Start/End
Reason for Leaving
Job 4 Employer
Job 4 Address
Supervisor\’s Name
Supervisor\’s Phone Number
Your Job Title
Your Salary Start/End
Your Duties
What did you like best about this job?
What did you like least about this job?
Reason for leaving:
 

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