Simple Job Application Form

Jorgensen Farms Job Application

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Applying for Position*

Catering ServerCatering Prep CookEvent Setup Team MemberField WorkOther
Have you been convicted of a felony in the last 7 years?*

YesNo
If yes, list convictions briefly:
How did you hear about the farm?*
Tell us a little about yourself. What do you do in your spare time? What are you passionate about?
When you are available to work?
Monday
Please specify the hours you are available
Tuesday
Please specify the hours you are available
Wednesday
Please specify the hours you are available
Thursday
Please specify the hours you are available
Friday
Please specify the hours you are available
Saturday
Please specify the hours you are available
Sunday
Please specify the hours you are available
Full TimePart TimeOn-Call
What is your desired rate of pay?
When are you available to start?

MonthDayYear
If employed and under 18, can you furnish a work permit? *

YesNoI am over 18
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?*

YesNoI was born in the United States
Are you currently employed?

YesNo
May we contact your present employer?

YesNo
Additional Comments
Please attach your resume. On your resume please include 2-3 references with their name, phone number, email and how long you have known them. Please also include your education background.
Upload Resume*

Upload a File

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Upload Cover Letter

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Jorgensen Farms is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, color, disability, gender, national origin, race, religion, sexual orientation, veteran status, or any classification protected by federal, state, or local law.
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Jorgensen Farms Job Application