Job Application Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Are you a U.S. Citizen? * Yes No Have you ever been convicted of a felony? * Yes No If selected for employment, are you willing to submit to a pre-employment drug screening test? * Yes No Emergency Contact * First Name Last Name Emergency Contact Phone * (###) ### #### What position are you applying for? * Available Start Date: * MM DD YYYY Desired Pay * Job Skills/Qualifications * Availability * Weekends Monday-Friday All Days Mornings Afternoons Just a few days a week Is there anything else you would like us to know? Thank you! If you have a resume you would like to send us, please email it to hello@goodpickinfarm.com
