Graff Dairy Web Application

Form
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Availabilty

Monday: From: To: From: To:

Tuesday: From: To: From: To:

Wednesday: From: To: From: To:

Thursday: From: To: From: To:

Friday: From: To: From: To:

Saturday: From: To: From: To:

Sunday: From: To: From: To:

Weekend work is required. We have a strong attendance policy.
Are you at least 16?

Do you have a reliable form of transportation?

Is minimum wage okay with you?

Do you know how to count change back?

Please list 2 references that are not friends or family members below:

Tell us a little about yourself:
Should be Empty: