Pumpkin Patch Application 2026

Pumpkin Patch Application 2026

Complete this application using the information shown in the source image. All labels and options should match the extracted content exactly.
Applicant Information
Last Name
First
M.I.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Street Address
Apartment/Unit #
City
State
ZIP
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-mail Address
example@example.com
Date Available

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Social Security No.
Position Applied for
Food Prep, Cashiers, Tractor Drivers (Must be 25+ with experience), Attraction Operator, Field Trip Teacher, Actor/Actress (Wear Costume), Face Painter, Candy Maker, Landscaper, Tour Guides
Eligibility and Background
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
If so, when?
Have you ever been convicted of a felony?
If yes, explain
Work History
Past of Current Employers Name
Job Title
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Responsibilities
Reason for leaving
Education History
Name of High School
High School - Date Graduated

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
High School - Did you graduate?
Grade Completed
Other Schools - Attended
References
Reference 1 Full Name

First NameMiddle NameLast Name
Reference 1 Relationship
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Full Name

First NameMiddle NameLast Name
Reference 2 Relationship
Reference 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 Full Name

First NameMiddle NameLast Name
Reference 3 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you able to work Saturdays & Sundays in October?
Do you have your own transportation
Should be Empty:

Pumpkin Patch Application 2026

Applicant Information

Eligibility and Background

Work History

Education History

References