2025 Employment Application Form

Name (First & Last)

Tell us what you are looking for in employment? We have many positions available and are happy to be flexible so please let us know what you are looking for so we can ensure a good fit for you and us!

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

E-mail Address

example@example.com

Are you a citizen of the United States?

How will you get to work?

How were you referred to us

Name of person who referred you:

Are you 16 years of age or older? If no, when will you be turning 16.

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Tell us about yourself! Trainings, certifications or anything that you would like us to know about you including Food Handler's License, OLCC License, CPR, Academic or Professional Certifications.

Describe your skills and/or job experience:

Please list one reference that is familiar with your work life.

Name (First & Last)

Relationship to you, and what jobs you work with them or for them at.

Phone Number

When will you be available to START work

What Days of the week are you available to work?

Are you looking for short-term/long-term, part-time and/or full time employment?

What shifts would you like to be scheduled for:

Are you available to work 5-8 hour shifts?

Are you interested in working in our Market, Bakery, Outside, Activities Stations, Admissions, Bar, Food Service or don't have a preference?

Most recent education.

Most recent job held & reason for leaving.

(type n/a if this is your first job)

Please provide us with any other information you feel is necessary for us to know as your potential employer that would affect your ability to perform a job.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job related physical examinations.

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Thank you for completing this application form and for your interest in our business! Type out your name below.

We are hiring at Lee Farms!

Commitment

Job Skills & Training

References

Availability