Kelkenberg Farm Employment Application
Please complete all fields to be considered
Name
Preferred Name
Today's Date
-
Month
-
Day
Year
Date Picker Icon
Address
Phone Number
Text Okay?
Yes
No
Email Address
Birth Date
-
Month
-
Day
Year
Date Picker Icon
Emergency Contact: Name, Relationship to you
Emergency Contact Phone #
School, Grade, Degree
Have you visited the farm before?
Yes
No
Were you referred by a Kelkenberg Farm Employee? Who?
Previous Employment History
List two most recent jobs (any job including babysitting, lawn care, or volunteer work):
Work History Number 1: Include Employer, Position/Job, Dates Employed, and Reason for Leaving.
Work History Number 2: Include Employer, Position/Job, Dates Employed, and Reason for Leaving.
References
Please list two references. References should not be family members.
Reference #1: Name, Phone, Relationship to you
Reference #2: Name, Phone, Relationship to you
Personal Background
What are your hobbies, activities, interests, involvements?
Do you have any relevant experience (retail, agriculture, baking, etc.)?
Please give us 3 fun facts about yourself (e.g., cookie lover, sports fanatic):
Why do you think you would be good at the position you are applying for?:
What positions would you be most interested in working?
Barnyard/Pony Rides
Tractor Driver
Admissions/Cashier
Food Concessions/Grill
Tour Guide
I will try anything
Availability
Availability (9am-5pm). PLEASE NOTE, many roles require weekend availability.
Wednesday
Thursday
Friday
Saturday
Sunday
Acknowledgment and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
Signature Date
-
Month
-
Day
Year
Date Picker Icon
Submit
Should be Empty: