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Schneider Farms & Harvesting Application

*Personal Info:


First Name

(Required)

M

(Required)

Last Name

(Required)

Date of Birth

(Required)

License Number

(Required)

*Address:


Street

(Required)

City

(Required)

State

(Required)

Zip

(Required)

*Contact Information:


Phone Number

(Required)

Email Address

(Required)

Education:


High School

College (you may list more than one here)


Former Employment:


Employer

Phone

Position

Employer

Phone

Position

Employer

Phone

Position


*References: (Please list at least one reference)


Name

(Required)

Phone

(Required)

Relation

(Required)

Name

Phone

Relation

Name

Phone

Relation


Physical Record:


Do you have any physical limitations that may affect your ability to work?

If yes, please describe.


Additional Information:


Please add any additional comments here.


* Designates a required field.

Upon submission of this form you certify that the facts contained in this application are true and complete to the best of your knowledge and you understand that, if employed, falsified statements on this application shall be grounds for dismissal. You authorize the investigation of all statements contained in this application. You understand that misrepresentation or omission of facts called for is cause for dismissal. Further, you understand and agree that your employment is for no definite period and may, regardless of the date of payment of of wages and salary, may be terminated at any time without previous notice.

Thank you. Your application is now on file and we may contact you if a position becomes available. Please contact us if you have any questions or concerns.
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