Skelly's Employment Application

Skelly's Farm Market
2022 Summer Picking Crew Application

***This application is for PICKING CREW ONLY! If you are not interested in joining our summer picking crew, please head back to the website and choose the other application titled, "Summer Retail Employment."***

Please fill out the information below if you are interested in joining our summer picking crew. Hours will start in early July when sweet corn is ripe and continues through Labor day. Hours each day are approximately 7am - 11am. Additional hours may be available in September and October.

If we have openings when our sweet corn harvest begins, we will contact you as soon as possible. Please provide a reliable cell number so we can get ahold of you.

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Cell Phone Number *

Area Code Cell Phone Number

E-mail *

Emergency Contact Person *

Emergency Contact Phone *

Area Code Phone Number

Have you ever been convicted of a felony? *

Yes No

Picking requires physical activity including (but not limited to): lifting up to 50lbs, bending over for a long period of time, and being able to work outside in the heat and cold for an extended period of time. Are you able to perform these tasks? *

Yes No

Please select your age at the expected time of hire (July-October).

14-15 16-18 18-22 22+

Do you have any special skills we should know about? (Example: I am fluent in Spanish, I have a welding certificate, I have operated a fork lift before, etc.)

How many hours per week do you want to work? (Up to 40) *

Please check all available hours each day July-Labor Day

	All Day	6am	7am	8am	9am	10am	11am
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please check all available hours each day Labor Day-October 31st (only if continuing through our fall season)

	All Day	7am	8am	9am	10am	11am
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

What is the first day you can begin working? (Positions start approximately early July) *

Month Day Year

What is the last day you can work? (Last day of the season is October 31st) *

Month Day Year

Please list any scheduling conflicts such as sports, clubs, other jobs.

Please list any vacations/special occasions that you have planned during our season that would require time off. **This is important for priority scheduling! Please double check your dates!**

Feel free to use this space for any other information you would like to share.

How did you hear about us?

Website, Social Media, Friends, Family, Current Employee, etc.

Resumes and letters of reference are not required but are welcomed. Please use this button to attach if you are including. They may also be mailed separately to: 2713 Hayner Road, Janesville, WI 53548

Legal & Limitations

Availability

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