EMPLOYEE APPLICATION
Full Name:
Home Address:
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Email:
Confirmation Email
example@example.com
PREVIOUS EMPLOYMENT
1st most recent Employer Name:
Type of work:
2nd most recent Employer Name:
Type of work:
RATE YOUR LEVEL OF ENGLISH COMPREHENSION
Speak and Understand English (0 being the lowest and 10 proficient)
Please Select
0 - No English
1
2
3
4
5 - Average
6
7
8
9
10 - proficient
Read and Write English (0 being the lowest and 10 proficient)
Please Select
0 - No English
1
2
3
4
5 - Average
6
7
8
9
10 - proficient
Highest level of schooling completed:
Date:
-
Month
-
Day
Year
Date
Where:
Back
Next
EXPERIENCE
Driver's Licenses and Endorsement:
Class 5
Class 3
Class 1
Air Brake (Q) Endorsement
Rate your farm experience (0 being none and 10 proficient)
Please Select
0 - None
1
2
3
4
5 - Average
6
7
8
9
10 - proficient
Familiar with operating equipment:
John Deere (JD)
Case
Tractors:
Yes
No
Combines:
Yes
No
Air Drills:
Yes
No
Pivots:
Yes
No
GPS experience (0 being the none and 10 proficient)
Please Select
0 - None
1
2
3
4
5 - Average
6
7
8
9
10 - proficient
WORK REQUIREMENTS
Are you willing to work 2500 - 2700 hours/year? Averages 6 days/week of 10 hour days
Yes
No
Specify any required days off:
The work here may require you to lift up to 50 lbs. Is that a problem for you?
Yes
No
We have a no-smoking policy in all buildings and equipment with air-conditioned cabs. Is this a problem for you?
Yes
No
Signature:
Date:
-
Month
-
Day
Year
Date
Submit
Should be Empty: